Fees and Insurance old

What insurance do you accept? 

We are happy to bill any insurance/3rd party payor on your behalf for your services with VOA. We contract with these and other insurance companies:

• BCBS (includes Federal BCBS and KidCare Chip)
• CIGNA (Formerly Great West)

• Medicare (Must see a LCSW, MD, DO, Licensed Psychologist, or Nurse Practitioner for Medicare to pay)
• RR Medicare (Must see a LCSW, MD, DO, Licensed Psychologist, or Nurse Practitioner for Medicare to pay)
• TriWest (Active Duty must have referral-only pays for eligible providers)
• WinHealth
• Wyoming Medicaid

What questions should I ask my insurance provider before I come in? 

Before making your first appointment with us, you may want to contact your insurance provider and get the answers to these common questions:

• Is Volunteers of America considered an “in-network” provider on your insurance plan?
• Are there any authorizations required or steps you need to follow to make sure your insurance covers your care with us?
• Are there any specific limitations on the type of provider you must see in order for insurance to cover the cost of your appointments at VOA?
• What are your insurance benefits on your plan? (For example, are there limitations in the number of counseling appointments insurance will cover? Does your insurance cover prescription medications?)

What if my insurance requires me to see an "eligible provider"?

Some insurance companies will only reimburse for selected, eligible providers. For example, sometimes insurance will cover appointments with a psychiatrist, doctor, nurse practitioner or licensed clinical social worker, but the plan might not cover the cost of case management services.

When you make your appointment with us, we will make every effort to assign you to an eligible provider; however, we can’t guarantee the provider you see will be eligible for reimbursement by your insurance company. Should you choose to see an ineligible provider, you will be responsible for all uncovered charges incurred for the provider by whom you are seen.

What if my insurance doesn't cover a specific provider or service? 

If your insurance doesn’t cover a specific VOA service in your treatment plan, you will be responsible for the fee associated with the service. These services are called “Underinsured Services” because you have insurance, but it does not cover the service. These services may be available to you at a discount, if you qualify for discounted services under the Sliding Fee Discount Policy.

Medicare and Medicaid clients will be asked to complete an Advance Beneficiary Notice (ABN), which describes the service, the reason that the service is not a covered service, and the full fee for the service.

For those who cannot afford our services through insurance or their income, we offer a sliding fee scale. This scale is different for each individual, and the best way to get information on what it would look like for you is to contact us at 1.866.Get.2.VOA. 

All clients who come to Peak Wellness Center for behavior health services are assessed for eligibility for a Sliding Fee Discount unless they refuse. We do this to ensure that if it is clinically appropriate for you to receive services that are not covered by insurance (underinsured services) that you can afford these services. The Sliding Fee Discount is a “Payer of Last Resort” discount that is supported with a subsidy from the State of Wyoming Department of Health and follows Federal Poverty Guidelines of Income and Family size for this subsidy.

Clients with documented incomes at or below 100% of poverty will be charged a Minimum Fee on their services at Peak. This Minimum Fee is a substantial discount from the full fee for the service and is the greatest discount available based upon income and family size. There are also 4 tiers of eligibility between 100% and 200% of Federal Poverty Guidelines, each with a related discount from full fee. Federal Poverty Guidelines are updated during the first quarter of every calendar year.

To qualify for the Sliding Fee Discount, all alternative payment resources must be exhausted, including all third-party payment from insurance(s), Federal and State programs. Peak cannot accept payment from any other payer (DFS, DVR, etc.) for any amounts due from clients which have been processed with the Sliding Fee Discount.

Payment for all services at Peak Wellness Center are due when the service is rendered. This includes Minimum Fee services. If you are experiencing a Financial Hardship, please speak with the front desk staff as soon as possible. You may qualify for a Payment Plan or Financial Hardship discount. A separate application is available for that process.

Under federal regulations, clients with insurance coverage do not qualify for the sliding fee scale.

The sliding fee scale discount is based upon income and family (based on Census Bureau definitions): 

• Income includes earnings, unemployment compensation, workers compensation, Social Security, Supplemental Security Income, public assistance, veterans’ payments, survivor benefits, pension or retirement income, interest, dividends, rents, royalties, income from estates, trusts, educational assistance, alimony, child support, assistance from outside the household, and other miscellaneous sources. Noncash benefits (such as food stamps and housing subsidies) do not count.
• Family is defined as a group of two people or more (one of whom is the householder) related by birth, marriage, or adoption and residing together; all such people (including related subfamily members) are considered as members of one family.

When you apply, you will need proof of income for everyone in your household. 

For income verification, applicants must provide one of the following:

• Prior year tax return
• W-2
• Three most recent pay stubs
• Letter from employer
• Form 4506-T (if W-2 not filed)

Self-employed individuals will be required to submit detail of the most recent three months of income and expenses for the business. Adequate information must be made available to determine eligibility for the program. Self-declaration of income may only be used in special circumstances. Specific examples include participants who are homeless.

 Information about the Sliding Fee Discount Program policy and procedure will be provided and assistance offered for completion of the application. Dignity and confidentiality will be respected for all who seek and/or are provided charitable services.

Clients who wish to receive discounted services must provide written income documentation upon entry into service to qualify for the discounts. The client/responsible party must complete the Sliding Fee Discount Program application in its entirety. Your Federal Tax Return is the best source of income documentation. By signing the Sliding Fee Discount Program application, persons authorize Peak Wellness Center access in confirming income as disclosed on the application form. Providing false information on a Sliding Fee Discount Program application will result in all Sliding Fee Discount Program discounts being revoked, and the full balance of the account(s) restored and payable immediately.