Insurance, Authorizations & Billing

All BHA clinicians are in network providers for most insurance companies and many Employee Assistance Programs. Our insurance affiliations include:

  • Aetna
  • Affiliated EAP
  • All One Health/Health Resources
  • Beacon Health Options
  • Blue Cross/Blue Shield
  • Boston Medical Center Health Net
  • Carebridge
  • Ceridian
  • CMG Associates
  • E4 Health (Wellness and LifeScope EAP)
  • Fallon
  • Family Service EAP
  • F.E.I. Behavioral Health
  • Harvard Pilgrim
  • KGA
  • Life Solutions/PsychCare
  • Magellan Behavioral Health
  • Medicare
  • Neighborhood Health Plan
  • New England Carpenters Health Benefits
  • Partners EAP
  • Tufts Health Plan
  • UMass Medical School EAP
  • United Behavioral Health
  • United Health Care

If you have an insurance that is not listed above please do not hesitate to contact us and discuss out of network options.

If BHA is considered in network with your insurance company the billing process for your visits will be completed by our Administrative Staff. You will be asked to pay, at the time of the visit, for all co-insurances, co-payments, or deductibles that may apply given your particular benefit package. It is definitely in your best interest to contact your insurer, prior to calling us, in order that you better understand your benefits. There is usually a toll free number on the back of your member card that will direct you to the correct department for Mental Health and Substance Abuse benefit information. If after calling this number you find it difficult to understand the specifics of your Mental Health benefits you should feel free to call us and allow us to assist in guiding you with this process.

Our services are most probably covered by your health insurance under the category of mental health benefits. It is your responsibility to verify your mental health coverage and be aware of any deductible or co-payment for which you will be held responsible. There are no guarantees about the exact amount of reimbursement your specific coverage allows. Issues relative to deductible, co-payment and other variables may effect your specific claim situation. It is in your best interest to contact your insurance company and discuss your coverage. Please be aware that any payment for which you are responsible is required at the time of your appointment. Additionally, any portion of your bill not paid by your insurance company is ultimately your obligation. We should discuss your specific coverage during your initial visit. Be sure to gain authorization for all visits to this office prior to your scheduled appointment.

It is quite common that an insurer may require you to seek authorization prior to receiving any medical treatment, including mental health treatment. When you contact your insurance company, to seek clarity relative to your benefit package, you should ascertain whether or not you will need an authorization to receive treatment at BHA.  Each insurance company has its own policy around whether prior authorization is necessary and if so how many sessions will be initially authorized. Please remember that obtaining an authorization, if one is necessary, is central should you plan on having your bills submitted to your insurance company.  If your plan requires an authorization and one is not obtained you will be asked to pay for services, in full, at the time of your visit.

Paper and online billing are provided and available for all patients.  If your insurance company has a contracted relationship with us, then your billing will be done directly with reimbursement due to this office.  You will be asked to pay the co-payment at the time of the visit.  If there is no contract in effect between Behavioral Health Affiliates and your insurer, you will be asked to pay the full amount for each visit, at the time of each visit, and you will be reimbursed directly by your insurer.  We will complete the billing for you, and will do everything within reason and our control to assist in a timely reimbursement.

There will be a charge of $75 for all missed sessions which are not cancelled with at least 48 hours notice.  This charge will be billed to you directly, and is not covered by your insurance benefits.