Behavioral Health NightmareDec 27 2013
As a provider I provide one hour sessions for my clients. Recently, a one hour session with a client co-pay of $40 was paid at the Aetna rate of $10. Can you imagine? One hour of therapy and Aetna feels that $50 is appropriate. It is no wonder that the client's previous counselor "went out of business". The client is paying a large monthly amount to maintain insurance and yet must bear the brunt cost of the therapy. What are my options to stay in business: 1. refuse Aetna clients 2. charge them co-pay plus out of pocket coverage for the sessions The Aetna rep. told me that I should renegociate. Let's see how that works.