Frequently Asked Questions
Insurance can be confusing, but we’re here to help! Here’s a simple breakdown of how your mental health benefits work and how to check your coverage.
1. How to Verify Your Coverage
Before scheduling an appointment, it’s a good idea to check what your insurance covers. Here’s how:
✅ Call the number on the back of your insurance card (usually labeled “Customer Service” or “Member Services”).
✅ Ask these key questions:
- Do I have mental health coverage?
- What is my copay or coinsurance for therapy sessions?
- Do I need to meet a deductible first?
- Are there limits on the number of sessions covered?
- Do I need preauthorization before starting therapy?
- Is my provider in-network or out-of-network?
If you need help verifying your benefits, we can assist you by contacting your insurance provider. Please note that while we can assist with this, we cannot see all the terms and limitations of your insurance. We strongly encourage you to contact and verify your benefits.
2. Understanding Common Insurance Terms
🔹 Copay – A fixed amount you pay for each therapy visit (e.g., $20 per session).
🔹 Deductible – The amount you must pay out of pocket before your insurance starts covering costs.
🔹 Coinsurance – Instead of a fixed fee, you pay a percentage of each visit’s cost (e.g., 20%), and insurance covers the rest.
🔹 Out-of-Pocket Maximum – The most you’ll pay in a year. Once you reach this limit, insurance covers 100% of eligible costs.
🔹 In-Network vs. Out-of-Network –
In-network providers have agreements with your insurance, so you usually pay less.
Out-of-network providers may cost more or may not be covered at all.
Important: Being in-network does not automatically guarantee coverage. Even if a provider is in-network, your plan may still have restrictions, such as:
✔ A deductible that must be met before coverage starts
✔ Limits on the number of sessions per year
✔ Services that require preauthorization
Always verify your coverage before starting therapy to avoid unexpected costs. You are responsible for any balance that your insurance does not cover.
3. What is an Explanation of Benefits (EOB)?
After a visit, your insurance company will send you an Explanation of Benefits (EOB). This is not a bill—it simply shows:
✅ The total cost of the session
✅ What your insurance covered
✅ What you owe (copay, deductible, or coinsurance)
If you receive a bill and aren’t sure why, compare it to your EOB or contact us for clarification!
Still Have Questions?
We’re happy to help! If you’re unsure about your coverage, bring your insurance card, and we can walk through the details together. You can also call your insurance provider for the most accurate information.
All coverage is based on your individual plan. Check with your insurance provider to see what will be covered for individual sessions. Currently, we are in network with the following:
- Anthem/Blue Cross Blue Shield
- MHS WI/Cenpatico
- Dean Healthcare
- Quartz
- Medicaid
- Medicare
- Optum/United Healthcare
- UMR
- The Alliance
- Aetna
- MHS WI/Cenpatico
- CCHP/Chorus Healthcare
- WPS
- Cigna
- TriCare
- Aurora
- Healthcare
- UMR
- Common Ground
- Healthcare
- Humana
- First Health Network
- Molina Healthcare
To schedule an appointment, please contact our office manager at 262-226-2006 or complete our contact form online. If you have a preferred therapist we will do our best to match you based on availability.
Before your first session, you’ll have a free, brief phone consultation with the therapist to ensure it’s a good fit for both of you. We deeply value the therapist-client relationship, as it plays a key role in your healing journey.
Appointments & Availability
Each therapist manages their own schedule, so if you need to cancel or reschedule, please reach out to your therapist directly. Clinic hours are Monday–Friday, 8 AM – 7 PM, though availability varies by therapist.
You will receive a text and email reminder for your appointments. Sessions can be held in person or via telehealth, depending on your preference.
Paperwork & Payments
Peace of Mind Wellness is a paperless practice. Before your first session, you will receive an email with a link to complete your initial paperwork through our secure online portal. Through this portal, you can also:
✅ Make payments
✅ Update personal information
✅ Manage your insurance details
If you have any questions, please don’t hesitate to reach out. We are here to support you every step of the way.
You can access the portal through the patient portal icon at the top of the screen or enter/copy this link to your web browser:
https://peaceofmindwellness.clientsecure.me
Starting therapy is a big step, and we want you to feel supported every step of the way. Here’s what you can expect:
- Your Therapist Has to Be the Right Fit
💡 Finding the right therapist is important! Your connection with your therapist plays a key role in your progress. If at any point you feel like your therapist isn’t the right fit, please speak up—we want you to feel comfortable and supported. We can explore adjustments, changes, or even referrals to another therapist or clinic if needed. - Completing Initial Paperwork
Before your first session, we’ll send you an email with a link to our secure online portal where you’ll complete the necessary forms. This helps us understand your needs and allows you to update personal or insurance information at any time. - Your First Session
Your first session is all about getting to know your therapist and feeling out the process. You don’t need to have all the answers—your therapist will guide the conversation at a pace that feels right for you. They may ask about your background, current challenges, and what you hope to get out of therapy. - Ongoing Sessions & Open Communication
Therapy is a journey, and your needs may change over time. It’s important to know that your voice matters! If something isn’t working for you—whether it’s the approach, the topics being covered, or your overall goals—let your therapist know. Therapy is most effective when you feel comfortable sharing your thoughts, concerns, and feedback. - Payment & Insurance
If using insurance, we recommend calling your provider to verify your mental health coverage. Our online portal allows you to make payments, update insurance, and manage your account with ease. If you have questions about costs, we’re happy to assist you in understanding your benefits. - Making Changes or Cancelling Appointments
Each therapist manages their own schedule, so if you need to reschedule or cancel, please contact your therapist directly. You may be subject to a late fee if cancellation is made in less than 24 hours in advance of your appointment. - In-Person or Telehealth Options
We offer both in-person and virtual (telehealth) sessions, so you can choose the format that best suits your needs.
Your Therapy, Your Journey
Therapy is a collaborative process, and your experience should feel right for you. Whether you want to adjust your goals, change the way sessions are structured, or even switch therapists, that’s completely okay!
💙 You deserve a space where you feel heard, understood, and empowered.
If you have any questions or are ready to begin, call us at 262-226-2006. We’re happy to help!
At Peace of Mind Wellness, your privacy is our priority. We follow HIPAA (Health Insurance Portability and Accountability Act) regulations to protect your personal and health information. Your therapy sessions are completely confidential, and your records are securely stored.
Additionally, under the No Surprises Act, you have the right to receive a Good Faith Estimate for the cost of services if you are uninsured or choosing to pay out-of-pocket. This ensures transparency in pricing, so you are not faced with unexpected charges. If you have any questions about this, please let us know—we’re happy to explain further.