Insurance
Plans accepted at this time:
Blue Cross Blue Shield
Optum: Medica, UnitedHealthCare, UMR
Health Partners
Tricare
Ucare
Medical Assistance
Prepaid Medical Assistance Programs including BluePlus
If your insurance is not listed here, please send me an email to discuss.
*You are responsible for calling your insurance company to confirm specifics regarding network benefits (in/out of network with the provider, coverage, out-of-pocket costs, etc.).
In the provider directory, search: Nicole Gartner or Nicole McIntyre (NPI 1: 1467807784) and Seeds of Serenity Mental Health (NPI 2: 1477222115)
Private Pay
No Insurance:
If you do not have health insurance, please reach out to me to discuss details about cost for services. I have a set number of income-based spots available.
Personal Preference:
If, for any reason, you wish to not use your insurance plan, private pay is available. Due to contract requirements, I am unable to provide a discounted rate for folks who are insured and would opt not to use their policy.
Good Faith Estimate (GFE):
By law, as a private pay client, you have a right to a written estimate of your bill prior to services rendered. A GFE will be provided for you.
Superbills:
For out-of-network and private pay folks, superbills can be provided by request for reimbursement. Please note that you are responsible for verifying details, as reimbursement is not guaranteed.
Fees
Diagnostic Assessment- First Session (90791): $200
Individual Therapy 53-60 minutes (90837): $150
Individual Therapy 38-52 minutes (90834): $125
Individual Therapy 16-37 minutes (90832): $100
Family Therapy 26-60 minutes (90846 or 90847): $150
Crisis Psychotherapy 60-90 minutes (90839 and 90840): $200/$100
*Fees are subject to change; sufficient notice will be provided.
Additional financial information is outlined in the SOSMH Informed Consent document, which is available prior to a phone consult by request.
No Surprises Act
What is “balance billing” (sometimes called “surprise billing”)? :
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.
“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.
“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care—like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.
Protections against balance billing:
Laws are in place to protect you from being billed more for out-of-network services than your in-network cost sharing amount (copay, coinsurance, or deductible). For example, in Minnesota, Minn. Stat. 62K.11 protects patients against balance billing in some circumstances. (see https://www.revisor.mn.gov/statutes/cite/62K.11). (See also Minnesota Statutes 62Q.556 – Unauthorized Provider Services.)
For more information:
If you believe you have been wrongly billed, please email me directly; my goal is to provide clarification and/or correct any errors as soon as possible.
You may also contact 1-800-985-3059.
Visit www.cms.gov/nosurprises/consumers for more information about your rights under federal law.
Visit www.ag.state.mn.us/consumer/health/default.asp for more information about your rights under Minnesota law.