Insurance & Self Pay
A free 15-minute Phone/Zoom Consultation is available for potential clients who have questions or would like to explore if we would be a good fit.
Self-Pay (No Insurance/Out-of-Network): $150-250/session, depending on length
No-Show/Late Cancellation Fee: $35
In-Network Insurance Beginning January 1, 2024:
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Aetna
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Cigna
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Optum/United Behavioral Health/UMR/UHC
Insurance billing is provided through Hello Alma.
Click HERE to see if your plan is accepted.
Do you have Blue Cross Blue Shield?
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Dr. Marquez offers this insurance option through the group practice Advocate Counseling & Consulting PLLC.
As of January 1, 2022, under the “No Surprises Act,” you have the right to receive a “Good Faith Estimate” from your out-of-network health care provider for the total expected cost of any non-emergency services. For more information, please refer to the website Understanding costs in advance | CMS or call Health and Human Services at (800) 368-1019.
Billing & Insurance Questions
All billing, insurance claims, and payments are completed through HelloAlma.
How will I be billed for my copay, coinsurance, and/or out of pocket costs?
You will receive an e-mail from Alma with a link to pay your invoice. You should always pay your Alma invoices via the email sent directly from Alma to make sure that your visits are in-network.
What form of payment do you accept?
Alma invoices must be paid directly using a credit or debit card. There are no processing fees for copay or coinsurance payments. However, if you are charged a late fee or are paying out-of-network rates, there is a 2.6% +$0.30 credit card processing fee charged by Alma. You may pay each invoice individually or enroll in Auto Pay. You may also use an FSA or HSA debit card, but these cards cannot be enrolled in Auto Pay. We cannot accept cash or checks at this time.
Do you accept FSA or HSA cards?
Alma accepts FSA, HSA, or HRA debit cards. You can enter your debit card number directly into Alma’s payment systems by following the instructions in Alma’s email invoices. That said, we do not currently accept FSA, HSA, or HRA debit cards for Auto Pay enrollment. You can still use your debit card to pay your Alma invoices manually.
What information do you need to apply my EAP benefits?
To apply your EAP benefits we need the following information before services begin: the EAP program name, a client EAP authorization code, the authorized number of sessions, and the effective dates of the EAP benefits.
What is autopay and how do I enroll?
Autopay allows your card to be charged at the time of service, similar to what one experiences in a traditional office-based practice. All clients are encouraged to enroll so that their invoices are paid in a timely fashion. Per our billing practices agreement, sessions will be cancelled if there are outstanding invoices. If you would like to enroll, you can notify your provider who will send you a link from Alma by email.
Do you offer superbills?
Alma will auto-generate a monthly super bill for you with all the necessary codes and information for your insurance company. Superbills are generated on the first of the month for bills generated the month prior and will only reflect the bills you sent them in the month prior (e.g. your client will get their March superbill on April 1st). Invoices billed as 'cancellation fees' will not appear on superbills.