Financial Obligation

POLICY I

If you have Medicare, you will need to see specific Medicare therapists who can bill Medicare for our agency. If you have only Medicare, there may be a co-pay, which you will be responsible for. If you are a resident of Iroquois County, you will be able to apply for our sliding scale fee, which would be your co-pay with your Medicare insurance.

POLICY II

If you have Medicare and Medicaid, there will be no additional fee to you. Medicare and Medicaid will both pay for your services to our agency.

POLICY III

If you have only Medicaid, there will be no additional fee to you. Medicaid will pay for your services to our agency.

POLICY IV

If you have private insurance only, we would ask that you check to see if our agency is an in-network provider for your type of coverage. The insurance company can also give you information as to which specific therapists are covered under your plan.

You may need to pay a regular co-payment at the time of each session with us and you may have to meet a deductible. Your insurance company would be able to give you all of this information.

If you need to pay a regular co-payment and are a resident of Iroquois County, you will be able to apply for our sliding scale fee, which might be less than your required co-pay, and which the Center would accept as your co-pay.

POLICY V

If you have no Medicare, Medicaid, or private insurance and live in Iroquois County, you will be considered self-pay. You will be able to apply for our sliding scale fee by completing a 4506T Form at the time of your mental health assessment. Once information is confirmed, you will then be charged per session according to our sliding scale, in conjunction with the information obtained from the 4506T Form.

POLICY VI

If you have no Medicare, Medicaid, or private insurance and live outside of Iroquois County, we still feel it is important to meet your needs. It would be our goal to enter into a contract with you for you to pay a specific amount which you feel you can afford for specific services.  Once a contract is set, you will be responsible for the specified charges, based on the agreed upon fee.  The contract may be modified from time to time, based on your changing financial needs.

POLICY VII

There are some specific services offered through the Center that must be paid privately and in advance. These include fees for DUI evaluations and updates, Risk Education classes, and Domestic Violence evaluations and sessions.

All clients receiving services at the Center will have contact with our billing staff to gain a full understanding of expectations around payment of bills. You may call ahead to clarify your coverage with our billing department at (815)432-5241 x245. The Reimbursement Specialist may also attend a portion of your assessment session to clarify the financial agreement. At the time your services begin, you will sign a fee agreement that signifies your understanding of what coverage you have or do not have, and your set fee. If there is any change in your coverage or financial situation, you are expected to notify the Center immediately.

Contact us at (815)432-5241 x245 at any time for questions about your bills.