Insurance Companies That Accept Licensed Mental Health Counselors as Providers
We need the help of our members to add information to this page.  As you receive your licenses and apply to insurance companies to be accepted as providers, please let us know which companies are accepting licensed counselors, so we can post that information here.  The link to the left will go to form that will allow you to provide us with vital information about your experiences.

Below is up to date information on insurance companies and their responses to our Governmental Relations/Insurance Committee's requests for information, and the information sent to us by our members:
Insurance Company Reporting Form

INSURANCE COMPANY  NAME:      American Psychiatric Systems (APS Healthcare)
ADDRESS:6705 Rockledge Drive, Ste. 200
        Bethesda, Md. 20817
PHONE:    800-888-1965
WEBSITE:www.apshealthcare.com

INSURANCE COMPANY RESPONSE/POLICY:Accepts LMHC

SPECIALTY AREA NEEDED:Restricts acceptance to underserved areas

FEE SCHEDULE: Varies by plan: $70-80/initial eval $60-$70/ treatment sessions.


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INSURANCE COMPANY NAME:      Beacon Health Strategies
ADDRESS:       500 Unicorn Park Dr.
                                                      Wobum, MA 01801
PHONE:          781-994-7500/781-601-4569
                              WEBSITE:       www.beaconhealthstrategies.com
CONTACT PERSON:  Shashi and Pauline   800-414-2820

DATE OF CONTACT WITH CONTACT PERSON:  5/12

FEE SCHEDULE:  $66 for 45-60 minute session
$33 for indiv therapy 20-30 min session
$30 for group therapy 60 min session

INSURANCE COMPANY RESPONSE/POLICY:   Does accept LMHC's

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INSURANCE COMPANY NAME:  Blue Cross/Blue Shield of WNY
ADDRESS:1901 Main Street
        Buffalo, New York, 14208
PHONE:    716-887-8835
WEBSITE:

CONTACT PERSON:

DATE OF CONTACT WITH COMPANY/CONTACT PERSON: 

INSURANCE COMPANY RESPONSE/POLICY: Does not accept LMHCs.  
SPECIALTY AREA NEEDED:

FEE SCHEDULE:

COMMENTS:

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INSURANCE COMPANY  NAME: CIGNA Behavioral Health
ADDRESS:  P.O. Box 18223
PHONE:      800-244-6224
WEBSITE:   www.cigna.com

INSURANCE COMPANY RESPONSE/POLICY:  They accept LMHC's. 

SPECIALTY AREA NEEDED:On website, click Site Map, then Join Our Network for 
specialty areas.  Currently only accepting providers in those specialties

FEE SCHEDULE:$67.42 for 50 minute session 

COMMENTS:  Must have your CAQH application filed.
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INSURANCE COMPANY NAME:  CHPHP
ADDRESS:500 Patroon Creek Blvd.
        Albany, New York, 12206
PHONE:    1-888-320-9584
WEBSITE:         www.cdphp.com


DATE OF CONTACT WITH COMPANY/CONTACT PERSON:  Credentialling Dept.

INSURANCE COMPANY RESPONSE/POLICY:  Accept LMHCs intheir network  
SPECIALTY AREA NEEDED:  All

FEE SCHEDULE:

COMMENTS:

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INSURANCE COMPANY  NAME:  Community Care Network/CCN/First Health.
                             ADDRESS:     3200 Highland Avenue
                                                   Downers Grove, Illinois 60515
             PHONE:          1.800.937.6824 option 2-4-2
             WEBSITE:       www.firsthealth.com.

CONTACT PERSON:

DATE OF CONTACT WITH COMPANY/CONTACT PERSON: May 2006

INSURANCE COMPANY RESPONSE/POLICY:  Accepts LMHC's

SPECIALTY AREA NEEDED:

FEE SCHEDULE:

COMMENTS:

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INSURANCE COMPANY NAME:  COMPSYCH BEHAVIORAL HEALTH CORP.
ADDRESS:        NBC Tower 24th Floor
                                                       455 N. City Front Plaza Drive
                                                       Chicago, IL 60611
      PHONE:      1-800-557-1005
      WEBSITE:

CONTACT PERSON:

DATE OF CONTACT WITH COMPANY/CONTACT PERSON:  May 2006

INSURANCE COMPANY RESPONSE/POLICY: Accepts LMHCs

SPECIALTY AREA NEEDED:

FEE SCHEDULE:  60% of usual and customary, $10 co-pay/ EAP $30, $0 co-pay, extensive 
paperwork and utilization review.


COMMENTS:  Our colleagues in Illinois caution us that this company pays little and expects 
much from the clinician.

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INSURANCE COMPANY  NAME:Coresource/Matrix
ADDRESS:
PHONE:
WEBSITE:  800-886-1171


INSURANCE COMPANY RESPONSE/POLICY:    Accepts LMHC's

SPECIALTY AREA NEEDED:

FEE SCHEDULE:Pays $70/session for EAP visits only

COMMENTS:   This is an Employee Assistance Program

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INSURANCE COMPANY  NAME:EAP Consultants, Inc.
ADDRESS:  
                              PHONE:8oo-522-1073
WEBSITE:www.eapconsultants.com

CONTACT PERSON:

DATE OF CONTACT WITH COMPANY/CONTACT PERSON: 

INSURANCE COMPANY RESPONSE/POLICY:  Accepts LMHC's

SPECIALTY AREA NEEDED:

FEE SCHEDULE:

COMMENTS:  
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INSURANCE COMPANY  NAME:Emblem Health (HIP/GHI)
ADDRESS:  HIP, 55 Water Street, NYC, NY 10041
                              PHONE:
WEBSITE:www.emblemhealth.com

CONTACT PERSON:  Melissa Franzua, Senior Provider Coordinator

DATE OF CONTACT WITH COMPANY/CONTACT PERSON: 

INSURANCE COMPANY RESPONSE/POLICY:  Accept LMHC's

SPECIALTY AREA NEEDED:

FEE SCHEDULE:

COMMENTS:  Emblem now uses Value Options for their behavioral health services.
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INSURANCE COMPANY  NAME:Empire Blue Cross/ Blue Shield

ADDRESS:
PHONE:     
WEBSITE:

Andrea Lovell is the new Network Relations Consultant for NY Provider Solutions - 2018 212.518.5052, andrea.lovell@empireblue.com


DATE OF CONTACT WITH COMPANY/CONTACT PERSON:  9/27/18 


INSURANCE COMPANY RESPONSE/POLICY: Accepts LMHC's 

SPECIALTY AREA NEEDED:

FEE SCHEDULE: 90834 (45 min, individual psychotherapy) paid at $80 rate.  90791 (diagnostic evaluation) paid at $90 rate.

COMMENTS:
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NSURANCE COMPANY  NAME: Empire Plan - NYS Health Insurance Plan
(For state and local government employees/Civil Service)
ADDRESS:
PHONE:   1-877-7NYSHIP (United Healthcare)
Participating Provider Program:  1-877-769-7447

INSURANCE COMPANY RESPONSE/POLICY:  Accepts LMHC's as out of network providers.

SPECIALTY AREA NEEDED:

FEE SCHEDULE:

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INSURANCE COMPANY  NAME: Excellus Blue Cross/ Blue Shield
(Includes Blue Choice)
ADDRESS:
PHONE:      800 920-8889
WEBSITE:

CONTACT PERSON: 

DATE OF CONTACT WITH COMPANY/CONTACT PERSON:

INSURANCE COMPANY RESPONSE/POLICY: Accepts LMHC's as of April 2016!

SPECIALTY AREA NEEDED:

FEE SCHEDULE:

COMMENTS: Providers are required to have 10 years post-grad supervised experience and 3 references, but these requirements are being challenged.

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INSURANCE COMPANY NAME:         Fidelis Care NY
                             ADDRESS:          40 John Glenn Drive
                                                        Buffalo, New York  14228
                             PHONE:               1-888-343-3547  x 1127
                             WEBSITE:            www.fideliscareny.org

CONTACT PERSON'S PHONE:           716-564-3630  (Provider Relations)
DATE OF CONTACT WITH COMPANY/CONTACT PERSON:   2/13

INSURANCE COMPANY RESPONSE/POLICY:   Accepts LMHC's.

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INSURANCE COMPANY NAME:    First Choice Health EAP
                             ADDRESS:      Seattle, WA

                              PHONE:          1-800-777-4114
                              WEBSITE:      www.firstchoiceeap.com

CONTACT PERSON:   

DATE OF CONTACT WITH COMPANY/CONTACT PERSON:  10/08

INSURANCE COMPANY RESPONSE/POLICY:   Accepts LMHC's.  They have business across the country, but are not accepting new providers at this time.

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INSURANCE COMPANY NAME:    Fiserv Health Benesight
                             ADDRESS:      Box 350, Pueblo, CO, 81002
                                                                      or
                                                    600 Colonial Center Parkway
                                                    Lake Mary, Florida  32746-4764
                              PHONE:          1-888-891-2390
                              WEBSITE:      www.benesight.com



INSURANCE COMPANY RESPONSE/POLICY:   They are a third party administrator and contract with 
hundreds of insurance companies.  For example: United Health Care.  Each company needs to 
be contacted to be part of that network.  No offer was made of a list of companies in NYS.

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INSURANCE COMPANY NAME:    Health Behavior Associates
                             ADDRESS:      California
                              PHONE:          1-707-747-0117
                              WEBSITE:      www.callhboa.com

CONTACT PERSON:   

DATE OF CONTACT WITH COMPANY/CONTACT PERSON:  10/08

INSURANCE COMPANY RESPONSE/POLICY:   They accept LMHC's but do not have clients here in NY as of 10/08.
If you apply they will hold your information until they need it.

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INSURANCE COMPANY NAME:    H & H Health Associates
                             ADDRESS:      St. Louis, MO
                              PHONE:          1-314-845-8302
                              WEBSITE:      www.HHHealthAssociates.com (go to Provider Paperwork)

CONTACT PERSON:   Info@hhhealthassociates.com

DATE OF CONTACT WITH COMPANY/CONTACT PERSON:  10/08

INSURANCE COMPANY RESPONSE/POLICY:   Accepts LMHC's.  They pay $65 per session.

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INSURANCE COMPANY  NAME:Health Net Federal Services
ADDRESS: c/o PGBA, LLC/TRICARE. Box 870140, Surfside Beach, SC 29587-9740  
                              PHONE:877-874-2273
WEBSITE:www.mytricare.com

CONTACT PERSON:

DATE OF CONTACT WITH COMPANY/CONTACT PERSON: 

INSURANCE COMPANY RESPONSE/POLICY:  Accepts LMHC's

SPECIALTY AREA NEEDED:  This is for active service people, their spouses and people retired from service.

FEE SCHEDULE:  $75 initial visit, $60 individual sessions

COMMENTS:  

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INSURANCE COMPANY  NAME:Health Resources Corporation
ADDRESS:  
                              PHONE:800-451-1834
WEBSITE:www.healthresourcescorp.com

CONTACT PERSON:

DATE OF CONTACT WITH COMPANY/CONTACT PERSON: 

INSURANCE COMPANY RESPONSE/POLICY:    Accepts LMHC's

SPECIALTY AREA NEEDED:

FEE SCHEDULE:

COMMENTS:  

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INSURANCE COMPANY  NAME:Horizon Health EAP Services
ADDRESS:PO Box 292580
                                                      Lewisville Texas 75029
                              PHONE:    1- 800-872-7322 x 6526/Fax: 214-626-6462
WEBSITE:

CONTACT PERSON: Carissa Schwartz

DATE OF CONTACT WITH COMPANY/CONTACT PERSON:   11/09

INSURANCE COMPANY RESPONSE/POLICY:Accepts LMHC's


SPECIALTY AREA NEEDED:

FEE SCHEDULE:  Pays $60 for masters level therapists.


COMMENTS:  Company is not a member of CAQH. They do their own credentialling and will send you a packet.

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INSURANCE COMPANY  NAME:   Independent Health (NOVA)  

ADDRESS:             511 Farber Lakke Rd,   Buffalo, New York, 14221
PHONE:        585-454-1490
WEBSITE:  www.rcipa.com


INSURANCE COMPANY RESPONSE/POLICY: Accepts LMHC's who work in primary care and pediatric offices.


SPECIALTY AREA NEEDED:

FEE SCHEDULE:

COMMENTS:  Application was easy. They pay within 30 days and will pay 75% of the POMCO fee schedules.

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NSURANCE COMPANY NAME: Lifetime Benefit Solutions
ADDRESS: 115 Continuum Drive, 
Liverpool, NY. 13088
PHONE: 800-888-1965
WEBSITE:www.lifetimebenefitsolutions.com

INSURANCE COMPANY RESPONSE/POLICY:Accepts LMHC's

COMPANY PHONE:  1-800-356-1029

CONTACT PERSON: Angie

CONTACT PERSON'S PHONE:  315-701-9761

CONTACT PERSON'S EMAIL: Angela.Linder@lifetimebenefitsolutions.com

SPECIALTY AREA NEEDED: All

FEE SCHEDULE: 

COMMENTS:   Easy process to get paid.  Took about 2 weeks to join.  Small network.  They used to be part of BC/BS.  Many clients are union workers.

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INSURANCE COMPANY  NAME:  Magellan Health Services
ADDRESS:          14100 Magellan Plaza
          Maryland Heights, MO 63043
PHONE:       800-458-2740 x 33634/33517
WEBSITE:    www.magellanprovider.com

CONTACT PERSON:  Madeline Schneikart, Director of Credentialling

DATE OF CONTACT WITH COMPANY/CONTACT PERSON:  

INSURANCE COMPANY RESPONSE/POLICY:  Accepts LMHCs  

SPECIALTY AREA NEEDED:  flexible with this

FEE SCHEDULE: $60-75

COMMENTS:

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INSURANCE COMPANY  NAME: Magnacare
ADDRESS:825 East Gate Blvd, Garden City, NY  11530
PHONE:    1-888-624-6202
WEBSITE: www.magnacare.com

CONTACT PERSON:   Mellany Williams

DATE OF CONTACT WITH COMPANY/CONTACT PERSON:  2/8/07

INSURANCE COMPANY RESPONSE/POLICY:Accepts LMHCs

SPECIALTY AREA NEEDED:

FEE SCHEDULE:

COMMENTS:

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INSURANCE COMPANY  NAME: Medicare
ADDRESS:Various Offices throughout the state
PHONE:     Various
WEBSITE: www.cms.gov


INSURANCE COMPANY RESPONSE/POLICY:Does not accept LMHCs

SPECIALTY AREA NEEDED:

FEE SCHEDULE:

COMMENTS:Legislation is in process, but is expected to take years at the federal level.

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INSURANCE COMPANY  NAME:  MHN  (Mental Health Network)
ADDRESS:2370 Kerner Blvd. San Rafael, CA  94901 
PHONE:     800-327-2133
WEBSITE: www.mhn.com

CONTACT PERSON:

DATE OF CONTACT WITH COMPANY/CONTACT PERSON:  9/10

INSURANCE COMPANY RESPONSE/POLICY:  Accepts LMHC's

SPECIALTY AREA NEEDED:

FEE SCHEDULE: $75 initial visit, $60 for follow-up

COMMENTS:  This company does EAP referrals

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INSURANCE COMPANY  NAME: Multiplan
ADDRESS:11 Fifth Ave, NYC 
PHONE:     800-546-3887
WEBSITE: www.multiplan.com/providers/

CONTACT PERSON:  Credentialling Department

DATE OF CONTACT WITH COMPANY/CONTACT PERSON:  10
INSURANCE COMPANY RESPONSE/POLICY:  Accepts LMHC's

SPECIALTY AREA NEEDED:

FEE SCHEDULE:

COMMENTS:  Very prompt in making application available.  Took 2 months  to be accepted
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 INSURANCE COMPANY  NAME:     NYS Medicaid
                             ADDRESS:New York State Department of Health
                                                     Corning Tower
                                                     Empire State Plaza,
                                                     Albany, NY 12237
PHONE:   800-522-5518
WEBSITE:http://www.health.state.ny.us


INSURANCE COMPANY RESPONSE/POLICY:Accepts LMHCs as providers at state-funded 
facilities, and as individual providers with Medicaid managed care programs.

SPECIALTY AREA NEEDED:

FEE SCHEDULE: Credentialing is done through agency employing the LMHC

COMMENTS:

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INSURANCE COMPANY  NAME:  Oxford/United Behavioral Health
ADDRESS: 
PHONE1-877-842-3210                                      
WEBSITE:  www.ubhonline.com


INSURANCE COMPANY RESPONSE/POLICY:  Accept LMHCs 

SPECIALTY AREA NEEDED:

FEE SCHEDULE:  None Provided

COMMENTS:  
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INSURANCE COMPANY  NAME:  Perspectives, Ltd.
ADDRESS: 20 N. Clark St., Suite 2650 
PHONE:  800-866-7556                                         
WEBSITE:  www.perspectivesltd.com

CONTACT PERSON:   Provider Relations

DATE OF CONTACT WITH COMPANY/CONTACT PERSON:   May, 2008

INSURANCE COMPANY RESPONSE/POLICY:  Accepts LMHCs 

SPECIALTY AREA NEEDED:  Drug/alcohol diagnosis and treatment experience

FEE SCHEDULE:  $70 per individual session; $35 group

COMMENTS: This company provides mental health services to different companies nationally.  Providers do short-term therapy and then refer out those needing longer treatment
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INSURANCE COMPANY  NAME:  PHCS
ADDRESS:  1100 Winter St., Waltham, MA  02451
PHONE:   1-800-950-7040
WEBSITE:  www.PHCS.com

INSURANCE COMPANY RESPONSE/POLICY:  Accepts LMHC's

SPECIALTY AREA NEEDED:  ADHD, PTSD, Clinical Testing, Eating Disorders

FEE SCHEDULE:  

COMMENTS: Merged with MultiPlan

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INSURANCE COMPANY NAMEPomco
ADDRESS: 2425 James St.
Syracuse, NY 13206
  COMPANY PHONE: 315-432-9171

WEBSITE:www.pomcogroup.com

CONTACT PERSON: Diane Thompson-Naylor
​CONTACT PERSON EMAIL:  dthompso@pomco.com

INSURANCE COMPANY RESPONSE/POLICY: Accept's LMHC's

SPECIALTY AREA NEEDED: 

FEE SCHEDULE:

COMMENTS:  POMCO is a big insurance company in Westchester County for municipalities and schools.  Certain of their plans cover LMHC's and others do not.

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INSURANCE COMPANY  NAME:  PPO NEXT
ADDRESS:  8625  King George Dr., Suite 300, Dallas, Texas  75235 
PHONE:   1-800-334-5646
WEBSITE:  www.pponext.com


INSURANCE COMPANY RESPONSE/POLICY:  Accepts LMHC's

SPECIALTY AREA NEEDED:

FEE SCHEDULE:  None Provided

COMMENTS: 
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INSURANCE COMPANY  NAME:  Private Healthcare Systems
ADDRESS:1180 Winter St., Waltham, MA  02451-1227 
PHONE:800-950-7041 - Provider Relations
WEBSITE:  www.phcs.com

CONTACT PERSON:

DATE OF CONTACT WITH COMPANY/CONTACT PERSON:   September. 2006

INSURANCE COMPANY RESPONSE/POLICY:  Accepts LMHCs in PPO network

SPECIALTY AREA NEEDED:

FEE SCHEDULE:  They pay well per session

COMMENTS: 

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NSURANCE COMPANY  NAME:Resource Management Services - EAP
ADDRESS:  Illinois 
PHONE:877-614-0484
WEBSITE:  



INSURANCE COMPANY RESPONSE/POLICY:  Accepts LMHC's

SPECIALTY AREA NEEDED:

FEE SCHEDULE:  They pay well per session

COMMENT

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INSURANCE COMPANY  NAME:United Behavioral Health  (CDPHP)
                              ADDRESS: 1 Penn Plaza, 8th Floor
         NYC, NY 10119
PHONE:212-216-6573    
WEBSITE:   www.providerexpress.com



INSURANCE COMPANY RESPONSE/POLICY: Accepts LMHC's 

SPECIALTY AREA NEEDED:

FEE SCHEDULE:

COMMENTS: No network participation in Nassau and Suffolk Counties.  Out of network reimbursement is 80% after deductible.

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INSURANCE COMPANY  NAME:Univera Health Care
ADDRESS: 205 Park Club Lane
         Buffalo, New York, 14221
PHONE:     847-1480
WEBSITE: univera.com

CONTACT PERSON: varies by zipcode

DATE OF CONTACT WITH COMPANY/CONTACT PERSON:  11/17

INSURANCE COMPANY RESPONSE/POLICY: Accept LMHC's finally!

SPECIALTY AREA NEEDED:

FEE SCHEDULE: 90791 - $93/ 90837 - $73

COMMENTS: 

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INSURANCE COMPANY  NAME:  VMC Behavioral Health Care
ADDRESS:   100 S. Greenleaf
           Gumee, Ill. 60031
                              PHONE:888-969-4048 x 404/ F. 847-249-8846
WEBSITE:www.vmceap.com

CONTACT PERSON:

DATE OF CONTACT WITH COMPANY/CONTACT PERSON: 

INSURANCE COMPANY RESPONSE/POLICY:         Accepts LMHC's


SPECIALTY AREA NEEDED:

FEE SCHEDULE:

COMMENTS:  They will give you a CAQH#

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INSURANCE COMPANY  NAME:     Value Options
ADDRESS:PO Box 141927
        Irving, Texas, 75104-1927
PHONE:    800-535-0108/ 877-769-7447/1-800-397-1630
WEBSITE:www.valueoptions.com

CONTACT PERSON:  

DATE OF CONTACT WITH COMPANY/CONTACT PERSON: August 2015

INSURANCE COMPANY RESPONSE/POLICY:Accepts LMHC's and there is no longer a 3 year experience requirement!

SPECIALTY AREA NEEDED:

FEE SCHEDULE:

COMMENTS: 

Sample Superbill to assist in your acceptance as a provider
As of November 2018:

Below is a partial list of insurance companies that accept LMHC's here in New York.  At this writing most of the major insurance companies and hundreds of smaller ones accept LMHC's except for Blue Cross/Blue Shield.  We are working on getting accepted by BC/BS and if you are already an in-network provider for them, please contact Rick Ferguson, our Governmental Relations/Insurance Committee chair at:  richard_ferguson85@yahoo.com.  The information you can provide could help us to be officially accepted by BC/BS in the near future.

  INSURANCE COMPANY  NAME:      Aetna
ADDRESS:PO Box 5, Mail Stop F226
                                                      Blue Bell, PA 19422
                              COMPANY PHONE:   1-888-238-6232

WEBSITE:www.aetna.com

INSURANCE COMPANY RESPONSE/POLICY:  Once credentialling is done through CAQH, it takes about 1-2 months to become a participating provider.

SPECIALTY AREA NEEDED:Behavioral Health and EAP

FEE SCHEDULE:   Several depending on level of experience/degree and type of plan.

COMMENTS:

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INSURANCE COMPANY  NAME:      American Behavioral 
ADDRESS:550 Montgomery Hwy
                                                      Birmangham, AL 35216
                              COMPANY PHONE:   1-800-925-5327

WEBSITE:www.americanbehavioral.com

CONTACT PERSON:Allen Blackwell, Credentialling Dept.


INSURANCE COMPANY RESPONSE/POLICY:  Accept's LMHC's

SPECIALTY AREA NEEDED:EAP

FEE SCHEDULE:   $60 per 50 minute session

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