Spark Providers & Services are considered “In Network” for the following insurance carriers.

• Aetna
• Blue Cross / Blue Shield / Anthem
• CIGNA
• United Health

For other carries, ​most of our patients are able to get part or all of fees paid by insurance using typical “out of network” reimbursement options. Please verify with your insurance carrier if reimbursement is important to you prior to scheduling or paying for Spark Services.

Following each visit an invoice with appropriate diagnostic information will be provided, so patients may submit for reimbursement by sending service paid invoices directly to them.​

​HOW TO FIND OUT IF YOUR INSURANCE COMPANY WILL REIMBURSE AND IF SO, HOW MUCH:

Three different ways to find if, and how much your insurance company will reimburse:

1. Check your health insurance materials or website to review “out of network” coverage. This is more common with PPO plans than HMO plans.

2. Before an initial visit with Spark call your health insurance company (using the number on your insurance card) and ask:

Does my plan has include any “out of network coverage” for out of network Psychiatric Providers? And, if so, how much you will be reimbursed for the following CPT (Current Procedural Terminology) Codes?

90792 (Initial Evaluation Visit For New Patients )
99214+ (Standard Follow Up | Medication Management | 30 mins)
99215+90838 (Extended Follow Up Visit | 60 mins with Therapy)

Phone Call, Letter or Other Provider Requests are not covered by insurance.

3. If you are not sure what is covered in part or whole and do not want to call your insurance company you may decide to submit an invoice and see how much reimbursement you receive if any. Also read the EOB (Explanation of Benefits) that is sent back to you by your insurance company.

Health insurance companies are required by law either to pay the claim, or tell you why they are not going to pay, within 30 days.

Prior to the initial visit, a complete record and paperwork review will be performed.

Please complete all new patient paperwork fully and completely at least 2 days prior to your scheduled intake appointment.

Visit will usually occur via the internet or in person.

Visit will usually require between 30 and 40 minutes. Please be prepared to start on time as we will end on time. We strive to be punctual with all of our clients.

Visit may include a history taking session, blood pressure and vital signs reporting, height and weight reporting, and mental health screening. Also, collaboration with your other medical providers and past medical providers is sometimes necessary.

Labs- sometimes you will require lab work or even genetic testing to gain a greater understanding of medical needs and monitor medication levels.

Prescribing- Provider will discuss any past treatments, current medications, treatment recommendations, and often times medications may be prescribed or refilled at the first meeting.

National Suicide Prevention Lifeline
https://suicidepreventionlifeline.org
(800)273-TALK (8255)

Substance Abuse and Mental Health Services Administration National Helpline
https://www.samhsa.gov
(800)662-HELP (4357)

National Institute of Mental Health
https://www.nimh.nih.gov/index.shtml
(866)615-6464

Appointment Attendance: Please arrive or log-in on time for scheduled appointments. We strive to be on time for all of our clients and each appointment will need to end on time to ensure punctuality for all. If you are more than 10 minutes late for scheduled appointment, you will likely be rescheduled and charged for the scheduled visit.

Cancellations: We require 24 hours’ notice to cancel or reschedule appointments in order to avoid being charged in full for your visit.

Prescription Refills: It is vitally important that you attend appointments on a regular basis. Good adherence to follow up appointments and adequate treatment monitoring are vital factors in treatment outcomes. Refills are provided at each appointment when indicated, and will include sufficient refills until the next scheduled appointment.

This system of care generally works well, but on rare occasions, a client may need a refill due to unforeseen circumstances. In that case we will do our best to provide assistance to ensure there is no gap in treatment. However, we do require 3 days’ notice for refills and cannot offer same day services.

Controlled Substances: Regretfully, due to the nationwide shortage of Stimulant medications, which are controlled substances with strict prescription controls and procedures, we are no longer able to offer changes in prescriptions (strength or type), transfers or changes of pharmacies, or any other requests regarding stimulant prescribing between visits.

Minor Care: For clients age 15 and older, it may be helpful, but is not generally required, to have a parent or guardian present for evaluation and treatment. For clients age 14 and under, parental attendance and consent is required for each visit.

Contacting your Provider: Feel free to contact our office by phone or using chat & text system. Our Patient Coordinators will relay your  message or concern to your Provider and will try to get your answer within one business day. If you are experiencing an emergency, please go to the nearest emergency room or call 911 for help.

Disability Support: Because Spark is a telehealth only practice, we cannot provider support for most disability, court or work related filings and encourage you to seek an in-person practice for your care.

In some circumstances it may be indicated to speak with your other Provider(s) by phone for medical or psychiatric advice, consultation, or changes. These will be scheduled on a case-by-case basis at a fee.

In some circumstances Clients may request letters be written by their Provider. These requests will be handled once weekly and there will be a small fee based on time required. Not all letter requests will be granted.