Frequently Asked Questions:

Insurance Accepted for Therapy in Lawrence, Kansas

Personalized Solutions LLC works with many insurance plans to help make psychotherapy and behavioral health services more accessible for clients in Lawrence and surrounding Kansas communities. Coverage varies by plan, so we encourage each client to confirm benefits, copays, deductibles, coinsurance, and prior authorization requirements directly with their insurance provider before beginning services.

Insurance Plans We Bill Directly

Personalized Solutions directly bills the insurance plans listed below. If your plan is listed, we may be able to submit claims to your insurance company on your behalf. Final coverage, payment responsibility, and authorization requirements are determined by your insurance plan.

Most psychotherapy services in Kansas are covered by health insurance, but some plans may require prior authorization. Please contact your insurance provider to confirm your behavioral health benefits before your first appointment.

KanCare Medicaid and Kansas Medicaid Plans

Many Kansas Medicaid members receive behavioral health coverage through KanCare managed care plans. Personalized Solutions may be able to bill applicable KanCare Medicaid plans directly when services are covered and clinically appropriate. Because each KanCare plan may have different rules, clients should confirm whether outpatient psychotherapy services require prior authorization before scheduling.

Commercial Insurance for Counseling and Psychotherapy

Many commercial insurance plans include outpatient behavioral health benefits. Depending on your plan, you may owe a copay, deductible, coinsurance, or payment for services that are not covered. Personalized Solutions can bill participating insurance plans directly, but clients remain responsible for any balance assigned by the insurance company.

How to Verify Your Therapy Benefits

Before your first appointment, call the member services number on the back of your insurance card and ask:

Is Personalized Solutions LLC in network with my plan?
Are outpatient psychotherapy or behavioral health services covered?
Do I need prior authorization before my first appointment?
What is my copay for outpatient mental health visits?
Do I have a deductible that must be met first?
Do I owe coinsurance after my deductible is met?
Are telehealth therapy sessions covered?
Are there visit limits or diagnosis requirements?
What information does my therapist need to submit claims?

Prior Authorization

Some insurance plans require prior authorization before psychotherapy services are covered. If prior authorization is required and not completed before services begin, your insurance company may deny payment. Clients are responsible for confirming authorization requirements with their insurance provider.

Copays, Deductibles, Coinsurance, and Non-Covered Services

Copays, deductibles, coinsurance, and non-covered services are the patient’s responsibility. Personalized Solutions requires a credit card on file for balances assigned by insurance, including copays, deductible amounts, coinsurance, missed-appointment fees, and services not covered by the plan.

Medicare Notice

Due to Medicare billing restrictions and audit requirements, Medicare patients are seen only within scope of practice on an opt-out, cash-pay basis. Medicare patients should contact Personalized Solutions before scheduling to confirm whether services can be provided under the practice’s current Medicare policy.

Questions About Insurance Coverage?

Insurance can be confusing, especially when behavioral health benefits are managed separately from medical benefits. If you are unsure whether Personalized Solutions can bill your plan, contact our office and we can help you understand what information to ask your insurance provider.

Call Personalized Solutions LLC at (785) 760-4233 or email info@personalizedsolutionsllc.com with questions about accepted insurance plans for therapy in Lawrence, Kansas.