Affordability & Insurance
At Code 1 Wellness, we understand the importance of providing accessible and affordable mental health care to those who serve our communities. We proudly accept various insurance providers, including Blue Cross Blue Shield, Cigna, United Health Care, Medicare, Medicaid, and Tricare. This ensures we can deliver exceptional care to first responders and their families, who often face unique challenges and stressors.
We also recognize that insurance coverage may vary, and in some cases, out-of-pocket expenses can be a barrier to receiving the care you deserve. In response, our First Responder Program offers special discounted rates for individuals and families who are not covered by their insurance or require additional financial assistance.
Please note that insurance plans and networks can change and verifying that we are within your provider’s network is essential. We invite you to contact us to confirm your coverage, discuss our out-of-pocket rate options, or learn more about how Code 1 Wellness can support you on your path to well-being. Our dedicated team is here to help you navigate the insurance process and ensure you have access to the care you need when you need it most.
Let us partner with you on your journey to mental health and wellness. Reach out to Code 1 Wellness today, and together, we can create a brighter, healthier future for our first responders and their families.
Below are frequently asked questions regarding insurance and our services at Code 1 Wellness. We hope these will address your concerns and provide helpful guidance.
Understanding Your Rights Against Surprise Medical Bills: The No Surprises Act and How It Applies to Code 1 Wellness
At Code 1 Wellness, we are committed to providing transparent and fair billing practices for all our clients. The No Surprises Act offers significant protections to ensure you are not burdened by unexpected medical bills. Here’s what you need to know about how this legislation affects your care at Code 1 Wellness.
What is Surprise Medical Bills?
Before the No Surprises Act, patients could receive care from out-of-network providers without their knowledge and be billed for the difference between the provider’s charge and the amount covered by their insurance. This is known as “balance billing” and often results in surprise medical bills.
New Protections Under the No Surprises Act
If you have private health insurance through your employer, a Health Insurance Marketplace®, or an individual health insurance plan, you are now protected against the most common types of surprise bills. These protections include:
- Ban on Surprise Bills for Emergency Services: You cannot be charged more than in-network rates for emergency services, even if you receive them out-of-network, and without prior authorization.
- Ban on Out-of-Network Cost-Sharing: For most emergency and some non-emergency services, out-of-network cost-sharing (like coinsurance or copayments) is banned. You will only be responsible for in-network cost-sharing amounts.
- Ban on Out-of-Network Charges for Additional Services: Services like anesthesiology or radiology provided by out-of-network providers at in-network facilities cannot result in surprise bills.
- Notice Requirements: Providers and facilities must give you clear notice explaining your billing protections and who to contact if these protections are violated. They must also inform you that your consent is required to waive billing protections.
If You Are Uninsured or Self-Pay
For those without insurance or those who choose to pay out-of-pocket, the No Surprises Act ensures you can receive a good faith estimate of your care costs upfront. If the final bill substantially exceeds this estimate, you have the right to dispute the charges.
Existing Protections and State Laws
If you have coverage through Medicare, Medicaid, TRICARE, the Indian Health Services, or the Veterans Health Administration, you are already protected from surprise medical bills. The No Surprises Act works alongside state laws to provide a minimum level of protection. If your state law offers greater protections, those laws will continue to apply.
Additional Information and Support
If you have any questions about your billing at Code 1 Wellness or need further clarification on your rights under the No Surprises Act, please contact us at (816) 372-2948. We are here to help ensure you receive the care you need without the worry of unexpected medical bills.
By staying informed about your rights and the protections available to you, we can work together to make healthcare more accessible and transparent.
Frequently Asked Affordability Questions
Code 1 Wellness offers comprehensive mental health care services specifically tailored to the needs of first responders and their families, including individual therapy, couples therapy, family therapy, support groups, crisis intervention, and stress management.
Our First Responder Program is designed for active or retired law enforcement officers, firefighters, paramedics, EMTs, military personnel, and their immediate family members.
Please contact us to confirm if Code 1 Wellness is within your provider’s network. Our knowledgeable staff will be happy to assist you in verifying your coverage and ensuring that you have access to our services.
If you are not covered by insurance, or your insurance doesn’t cover our services, please don’t hesitate to contact us. We offer out-of-pocket discounted rates through our First Responder Program for individuals and families needing financial assistance.
You can schedule an appointment by contacting our office via phone, email, or website. Our team will be happy to help you find a suitable date and time for your work and answer any questions about our services and insurance coverage.
For any additional questions or concerns, please get in touch with us at Code 1 Wellness. Our dedicated team is here to help you on your mental health and well-being journey, providing the support and care that first responders and their families deserve.