Easton Neuropsychology and Behavioral Services (ENBS) is in network with the following insurances:
Medicare, Highmark Blue Cross / Blue Shield, Capital Blue Cross, Cigna, Aetna, United Health Care / Optum, Horizon Blue Cross Blue Shield of New Jersey, Independence Blue Cross (some therapy providers; not for testing), Geisinger, and Humana. We also accept most St. Luke’s and Lehigh Valley Health Network employee plans.
Please note that while we are generally considered in-network with the mentioned insurance carriers, we may not be in-network with ALL plans that each carrier offers. Additionally, please note that due to individual insurance carrier regulations, not every provider can be in network with every insurance. Some things are just out of our control!
We will do our best to verify your insurance coverage and your provider ahead of time for you, so that you will know your benefits, and can pay your out-of-pocket costs at the time of service. We want everyone to be informed . Please note, however, that we cannot be responsible for the information given to us by your insurance carrier, and it is also ultimately your responsibility to know your own insurance coverage. If your insurance does not pay on your behalf, provides us with incorrect benefit or coverage information despite good faith, or if you do not provide us with the correct insurance information and keep it updated, then you will be responsible for the cost of your services. By agreeing to services with us, you are agreeing to be responsible for charges not paid by your insurance.
We collect copayments, known deductibles, and any out-of-pocket costs prior to services being rendered, by/at the time of the appointment.
Contact us for more information; we’re happy to discuss your concerns! We also do all of our own billing in-house with our own staff, so that we are easy to reach with any billing questions. No separate numbers or billing companies to call. You will always be able to call our office directly and ask to speak to someone about billing and account information, or for help.
Out of network insurances:
ENBS is generally able to submit claims for patients for out of network insurances, so that you do not have to. This is done as a courtesy and convenience to you for insurances that we are not contracted with, and allows you to avoid having to submit superbills yourself; however, we are not obligated to accept out of network insurance rates or consider them payment in full. You are ultimately responsible for charges not paid in full by your insurance. You may be asked to pay for the service in full at the time of your appointment, depending on the insurance and your out of network benefits. We are available and happy to discuss this with you ahead of time !
There are some insurances that we do not participate with, and do not submit claims for, either because we are not able to, or because we are unable to work with those carriers. We will let you know if we are unable to submit these claims for you.
Please note that we no longer accept most workers’ compensation and automobile insurances, due to issues that we have routinely experienced with billing and denials. We apologize for any inconvenience that this may cause!
Self-pay services:
If you do not have insurance, will not be using insurance, or if we cannot accept your insurance, many services can be provided with a competitive self-pay rate. We will be happy to provide this rate up-front to you. Payment for all self-pay or out-of-pocket services are due before or at the time of service. We apologize, but we are not able to offer payment plans.
Some services that we perform cannot be offered through insurance, due to insurance contract terms and policies, services falling outside of medical guidelines, or not meeting medical necessity and/or treatment-necessary policies. We will let you know if we are unable to perform a requested service through insurance, and are happy to provide you with a self-pay rate.
Some services that cannot usually be performed through insurance include (but are not limited to): services provided as part of a legal case or action (civil, criminal, or court-ordered), services provided primarily for submission/support of a disability claim, lethal weapons/security/job clearances, evaluations performed not primarily for treatment but for the primary purposes of qualifying for a desired service or admission to a program, and evaluations strictly for educational purposes (learning evals, educational consultation evals; not including ADHD/Autism), certain developmental evaluations performed outside of specific age groups and through specific insurances. It sounds like a lot, but most of the treatment-related reasons that cause people to come for evaluation or treatment can go through insurance. Just ask us!