You are your best investment

Evolve Wellness Center’s business model is primarily a private pay model. 

What does this mean? This means that we are paneled with select insurance companies. Private pay fees are charged directly to the client. 

There are many client benefits with this model: 

• Therapist of your choice, you are not limited to a list of providers.

• Client has more accessibility to therapists as caseloads are smaller. 

• No long waiting lists, easier access to session time availability.  

• Increased confidentiality, session notes are not shared with a 3rd party, therefore, do not become part of your medical record.  

• Insurance rate is not affected. 

• Increased quality of care. 

• Treatment is not determined by insurance but by your mental health professional.

Insurance requires a diagnosis on the first session and can decline to cover if they believe your counseling services are not medically necessary. 

Should you choose to use your insurance Out of Network Benefits, a Superbill can be provided to submit to insurance for possible reimbursement. A Superbill is a medical invoice that outlines the services you received with your therapist every month.  

How to submit a Superbill to your insurance for possible reimbursement: 

• Call the number on the back of your health insurance card and ask for “member services” and ask the following questions: 

- Do I have out-of-network coverage for mental health services?

- How many sessions per year does my plan cover? 

- Do I need prior authorization or approval from my primary care provider? 

- What is the home or mailing address on my file? (important to ensure checks are issued to the correct address) 

- How do I submit a Superbill, what is the time limit? (online portal is the best option)