Licensed ProvidersTelepsychiatry Available Serving Texas, Kansas & Minnesota

Pleasant Place Psychiatry

Insurance & Billing

Insurance

Services may be covered in full or in part by your health insurance or employee benefit plan. Please check your coverage carefully.

Coverage

Questions to Ask Your Insurance

We recommend contacting your insurance provider before your first session. Ask the following questions to understand your mental health benefits:

  • Do I have mental health insurance benefits?
  • What is my deductible and has it been met?
  • How many sessions per year does my health insurance cover and at what rate?
  • Does my insurance company require an authorization?
  • Is the clinician/provider covered under my insurance?
*We will call to do an eligibility check on each client before their first session and will notify you of the information we receive on your insurance benefits. We recommend that you also call your insurance to ensure you understand your benefits and coverage of mental health services.*

Financial Responsibility

Copays & Deductibles

Your financial responsibilities at each visit.

Payment Due at Time of Service

According to your insurance plan, you are expected to pay any deductibles or co-payments due at the time of service. If your insurance does not fully cover charges, you will be responsible for paying any remaining balance.

Remaining Balance

Any portion of the session fee not covered by your insurance plan is your responsibility. This includes coinsurance amounts and charges that exceed your plan's allowed amount.

Please note: We accept payment via credit card, or debit card at the time of your appointment.

Before Your Visit

Insurance Verification

Steps to confirm your coverage before your first visit.

Verify Before Your Visit

Please verify that this practice accepts your insurance plan before your visit. Bring your insurance card and provide complete insurance information before your initial appointment so that we can verify your coverage and benefits.

Provide Your Insurance Card

Before your appointment, please provide clear images of the front and back of your insurance card. Our team will use this information to review eligibility and benefits. You may also contact the member services number on the back of your card to confirm whether Dr. Ediomi Oduwole and Pleasant Place Psychiatry participate in your specific plan.

Staff Assistance Available

Our staff is available to assist with benefit verification and authorization as required. If you have questions about your coverage, please contact us before your appointment.

Questions about coverage? Call us at (507) 353-2419 or email info@pleasantplacepsychiatry.com and we'll help verify your benefits before your first appointment.

Payment

Accepted Payment Methods

Health savings accounts, flex-spending accounts, credit cards, and debit cards accepted for co-payments and out-of-pocket sessions.

Credit Cards
Debit cards
HSA
FSA

Cancellation Policy

Appointments may be canceled or rescheduled without a fee when at least 24 hours' advance notice is provided. Cancellations made with less than 24 hours’ notice will be charged 50% of the scheduled session fee. Missed appointments without notice will be charged the full scheduled session fee. A valid payment card must be kept on file for patients with commercial insurance and patients paying out of pocket, except where prohibited by payer requirements, including Medicaid, Medicare, and TRICARE.

Patients may contact the administrative team if an emergency or exceptional circumstance occurs. Any exception to the cancellation or no-show fee will be reviewed individually and is not guaranteed.

Insurance & Billing

Insurance

We are providers that accept many various types of insurance policies. Some policies cover services at 100%, while others may have a co-insurance/co-pay requirement, similar to what you might pay at your doctor's appointments.

Insurance participation varies by state, plan, product, employer group, and provider network. Being listed on this page does not guarantee acceptance of every plan offered by an insurance company. Our team will review your insurance information before your appointment and, whenever possible, provide an estimate of your expected financial responsibility.

Eligibility and benefit verification are not guarantees of coverage or payment by your insurance company. Copays, deductibles, coinsurance, and non-covered services may still apply.

Insurances We Are Contracted With

Select your state to view accepted insurance plans.

Medicaid and Medicare participation may vary by state and specific plan. Please contact our office so our team can confirm whether we currently participate with your plan.
  • UnitedHealthcare
  • United Behavioral Health
  • UMR
  • Medica through UnitedHealthcare
  • Medica Government Programs
  • Medica Individual and Family
  • Aetna Commercial and Medicare
  • Aetna Meritain
  • Blue Cross and Blue Shield
  • Anthem
  • Cigna and Evernorth
  • Curative
  • Medicaid and Medicare Plans: Please contact our office to confirm eligibility and participation
  • UnitedHealthcare
  • United Behavioral Health
  • UnitedHealthcare Community Plan, KanCare
  • UMR
  • GEHA
  • Ambetter Health
  • Medica through UnitedHealthcare
  • Medica Government Programs
  • Medica Individual and Family
  • Aetna Commercial and Medicare
  • Aetna GRAVIE
  • Aetna Meritain
  • Blue Cross and Blue Shield
  • Anthem
  • Cigna and Evernorth
  • Curative
  • Medicaid and Medicare Plans: Please contact our office to confirm eligibility and participation
  • UnitedHealthcare
  • United Behavioral Health
  • UMR
  • GEHA
  • HealthPartners
  • Medica through UnitedHealthcare
  • Medica Government Programs
  • Medica Individual and Family
  • Aetna Commercial and Medicare
  • Aetna GRAVIE
  • Aetna Meritain
  • Blue Cross and Blue Shield
  • Anthem
  • Cigna and Evernorth
  • Curative
  • Medicaid and Medicare Plans: Please contact our office to confirm eligibility and participation

FAQ

Insurance FAQ & Definitions

The amount of money you must pay out of your own pocket before your insurance company starts to pay for covered expenses.
The percentage of costs you share with your insurance company after you've paid your deductible. For example, if you have a 20% coinsurance rate, this means that your insurance will cover 80% of costs, and you are left to cover the remaining 20% of costs.
A copay (or copayment) is a fixed amount you pay for a covered healthcare service.
The out-of-pocket maximum is the most you have to pay for covered healthcare services in a policy period (usually one year). In most cases, once your out-of-pocket maximum has been met, your services are covered at 100%.
An insurance claim is a request for payment submitted to a health insurance company by the healthcare provider for medical services received.
Coordination of benefits (COB) is the process used to determine how multiple health insurance policies will share the cost of a claim; i.e. which one is primary payer and secondary payer. The order of the payers is important for the billing process. Please confirm which of your insurances is primary prior to scheduling with us to avoid billing mishaps and unexpected fees. This only applies if you are covered by more than one insurance policy.
When filing to insurance, your insurance determines the cost of each session based on the specifics of your insurance policy. If you choose not to file to insurance, our clinicians offer same-day appointment rates specific to each individual provider.
At the time of your visit, you are billed for the estimated session cost. At times, once the insurance claim is fully processed, the insurer may come back with a different amount than initially quoted or leave claims to a deductible. When this happens, an insurance adjustment is made and the client is responsible for what the insurance determines is the cost, ultimately we must charge clients what the insurance leaves to the patient's responsibility due to our contractual obligations with insurance. If you have questions about what your insurance determines are your costs, fees, and responsibilities, please reach out directly to them (you can usually find this number on the front or back of your insurance card).
A state and federal program that provides health coverage if your household income is below a certain amount.
Medicare is a federal program that provides health coverage if you are 65 or older or have a severe disability, no matter your income.

Questions About Insurance?

Our team is happy to help you understand your benefits and coverage. Reach out and we'll guide you through the process.

Contact Us