Insurance

Using Insurance at Our Practice

Navigating insurance can be confusing, and we want you to have the information you need upfront. TRACE Behavioral Health is an out-of-network provider and does not bill insurance companies directly.

• HMO, Medicare, and Medi-Cal plans are not accepted at our practice.
• If you have a PPO plan, you may be able to receive partial reimbursement for out-of-network care (typically 50–80% after your deductible is met).

Checking Your Benefits

Before scheduling, we recommend contacting your insurance company and asking:

• Do I have out-of-network mental health benefits?
• What is my deductible, and how much of it has been met?
• What percentage of the session cost is reimbursed once I meet my deductible?

How Reimbursement Works

• You’ll pay the full session fee at the time of your appointment.
• We’ll provide a monthly statement (a “superbill”) for you to submit to your insurance.
• You’ll be responsible for submitting claims and tracking reimbursements.

Please keep in mind: coverage and reimbursement policies vary. While we’re happy to support you in the process, we cannot guarantee the amount you’ll be reimbursed.

Your Right to a Good Faith Estimate

You have the legal right to request a Good Faith Estimate of expected costs for your care.

• Estimates outline the cost of your initial evaluation, ongoing therapy, and any additional services.
• You may request an estimate before scheduling services.
• If you receive a bill that is $400 or more above your estimate, you have the right to dispute the charges. Please save a copy of your Good Faith Estimate for reference.

For more details about your rights, visit www.cms.gov/nosurprises or call (800) 985-3059. We're committed to providing transparent estimates so you can make informed decisions.