Private Insurance/Health Savings Accounts

Mindful Health Solutions is contracted with Aetna, MHN (Health Net), Blue Shield HMO,  and Magellan (Western Health Advantage). Mental health benefits are often “carved out.” This means that a separate company from your medical insurance may manage your mental health benefits. It is best to contact your company to determine who manages the benefit and the range of benefits that are covered.

If you have insurance with another company and you have out of network benefits, Mindful Health Solutions will give you a receipt that can be submitted to your insurance company. This receipt includes a diagnosis code, the date of service, the charges, and the CPT code (visit type/code). You can estimate out of pocket expenses by contacting MHS for the CPT codes we use and our service prices. With this information you can contact your insurance company and they should be able to estimate how much they will reimburse you.

Health care savings plans or reimbursement accounts typically also require this information for reimbursement. Full fees are typically reimbursed through these plans but you should check with your plan administrator for details and conditions of reimbursement.

Aetna

If you have Aetna insurance call the number on your insurance card to request authorization. When you call for an appointment with Mindful Health Solutions please be prepared to give information about your deductible and copay.

MHN: Managed Health Network (Health Net)

If you have MHN or Health Net insurance you must request authorization to see a MHS physician prior to scheduling your first appointment. Please contact us for our group number. To request authorization from MHN call the number on your insurance card. Once we receive notification from MHN we will schedule you for an appointment.

Blue Shield HMO

Magellan Behavioral Health (Western Health Advantage)

If you have Magellan or Western Health Advantage insurance you must request authorization to see a MHS physician prior to scheduling your first appointment. To request authorization call the number on your insurance card. Once you receive an authorization number from your insurance we can schedule your first appointment.

Medicare

Because of government rules Mindful Health Solutions cannot see patients with Medicare.

Medi-Cal

Because of government rules Mindful Health Solutions cannot see patients with Medi-Cal.

Workers’ Compensation

Mindful Health Solutions does not bill and is not contracted with Workers’ Compensation.

California short-term Disability

Determination of short-term disability is evaluated on an individual case-by-case basis. Mindful Health Solutions physicians are qualified to complete California short- term disability forms (DE 2501). We cannot determine disability or complete disability forms at the first visit because the focus of this visit is diagnosis and treatment planning. Disability determination can be scheduled after the first diagnostic session.

Private short-term Disability

Determination of short-term disability is evaluated on an individual case-by-case basis. Mindful Health Solutions physicians are qualified to complete private insurance short- term disability forms. We cannot determine disability or complete disability forms at the first visit because the focus of this visit is diagnosis and treatment planning. Disability determination can be scheduled after the first diagnostic session. Administrative fees may apply when private disability insurance forms require extensive time to complete.

Social Security Disability

Mindful Health Solutions physicians do not complete long-term disability evaluations. However, if social security requests records to determination disability we provide copies of your medical record with a completed release.