Coverage
Insurance participation
Montenegro & Associates is in-network with select Blue Cross Blue Shield plans other than Premera, as well as First Choice Health and Lyra. Participation may vary by provider and specific plan. Patients should confirm eligibility and benefits before beginning care. We will submit claims to your insurance, and you will be responsible only for the co-pay, co-insurance, or deductible amount. Please visit this link for detailed information about the codes charged to insurance. Contact your plan before your first appointment to find out your total cost for the session.
Participation By Provider
Dr. Montenegro — Blue Cross Blue Shield (except Premera), First Choice, Lyra
Dr. Glass — Blue Cross Blue Shield (except Premera)
Dr. Conant — Blue Cross Blue Shield (except Premera)
Out-of-network for all other panels. Provider profiles are on Our Psychiatrists.
Out-Of-Network
Out-of-network benefits
If a provider is out-of-network with your plan, you may be eligible for partial reimbursement depending on your benefits, deductible, and plan rules. We can provide appropriate documentation or reimbursement support when available, but reimbursement is determined by your insurer and cannot be guaranteed.
Reimbursify
Out-of-network claim submission, available to patients at no additional cost.Helping Patients with Reimbursements
Many insurance plans typically cover 50–70% of out-of-network (OON) fees if you submit a superbill claim.
Start by using our complimentary OON benefits check to learn about your benefit details and estimate out-of-pocket costs following reimbursement.
If you become one of our patients, you can use our Reimbursify service to submit your superbill for easy reimbursements at no additional cost! The reimbursement will be delivered directly to you. Leave the stress of dealing with your insurance to our Reimbursify team and instead focus on your wellness.
Remember to check your benefits, including if you have met your deductibles. On average, if you have met your full deductible, you can subtract 50 to 70% (depending on your OON reimbursement benefits) for a more accurate final cost.
Professional Fees
Out-of-Network (Private Pay) Fees
The child and adolescent evaluation is longer than the adult evaluation because it involves caregivers and developmental history.
| Service | Duration | Fee | Cost after reimbursement* |
|---|---|---|---|
| New psychiatric evaluation — adult | 60 minutes | $650 | $195–$325 |
| New psychiatric evaluation — child & adolescent | 90 minutes | $950 | $285–$475 |
| Evaluation feedback | 30 minutes | $350 | $105–$175 |
| Follow-up appointment | 60 minutes | $450 | $135–$225 |
| Follow-up appointment | 30 minutes | $300 | $90–$150 |
| Weekly therapy | 60 minutes | $400 | $120–$200 |
| Cognitive Profile Function TestAssesses depression, anxiety, memory, and ADHD | $150 | $45–$75 |
*On average, out-of-network patients may be reimbursed 50% to 70% of the fee after they have met their deductible. Please verify with your insurance plan.
$275
No-show fee, and fee for cancellations with less than 48 hours’ notice.
Policies
Policies and Good Faith Estimates
Cancellation and no-show policy
Cancellations with less than 48 hours’ notice incur a $275 fee. The same fee applies to no-shows.
Card-on-file policy
All patients must have a credit/debit card on file to process potential no-show/late-cancellation fees. For out-of-network patients, all services will be automatically charged to the card on file following the appointment.
Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
- You have the right to ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
- Make sure to save a copy of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.
Coverage Questions
Questions about coverage?
Insurance plans and networks can change. We encourage patients to verify benefits directly with their insurer, and to contact the practice with administrative questions.
Your existing contact form for administrative questions embeds where the button sits.