Coverage & Fees

Carencia is in-network with BlueCross BlueShield PPO, Cigna PPO, Aetna PPO, United Healthcare PPO policies. We are also able to serve you if you do not have health insurance or have a policy we are not in-network with as a cash pay client. 

Yes, we offer self-pay options for clients who do not have insurance.

Yes, we are currently licensed to practice in four states: Texas, South Dakota, Colorado, and New Mexico. Our in-person services are available at our location in Arlington, TX, while our online services are available to individuals located in all locations.

You may email billing@carencia.com and we will send you this information

You may email billing@carencia.com with a photo of the front and back of your new insurance, and we will update your information in our system.

Coordination of Benefits visit denials usually mean that your insurance plan is not convinced that they should be the primary payor of your visit. This often means they believe you have other insurance coverage that should be covering instead of them.  They will send you paperwork or you can give your plan a call to clarify any questions they have.  Once you have done this, they typically will automatically re-process any denied claims for you.

Insurance may deny a visit for multiple reasons.  The most common reasons include:  your plan turned out to be out-of-network with Carencia, your plan has requested information from you to verify coverage and they have not received a response (this is called coordination of benefits), or your policy termed for the date of service. When your visit is denied, this becomes patient responsibility and prompt payment of this balance will be requested.

Any visits not covered by insurance are patient responsibility to pay out of pocket

Carencia will provide you with a good faith estimate based on our eligibility check of your coverage at the time of your visit.  We always recommend that for further verification you may call your plan or visit your insurance portal to verify your copay, deductible, or coinsurance for an in-network specialist visit.

Carencia does not accept HMO policies at this time.  If you are unsure whether you have a PPO or an HMO policy, or whether your behavioral health benefit is in-network, we recommend that you call your plan to confirm.  Carencia will attempt to confirm on our end prior to your appointment, but we always recommend that you double check as the policy holder, to ensure you understand your coverage and benefits

Carencia does not accept HMO policies policies at this time.  HMO policies require a prior-authorization from your primary care provider be sent to your plan to approve each visit.  PPO ptolicies allow you to seek care with any in-network provider without a prior authorization.  You can usually tell whether you have an HMO or PPO policy by looking on the front of your insurance card.  Cards that state PPO, POS, or Choice Plus are usually PPO’s.  Cards that state HMO or have a small empty briefcase in the bottom right corner of the front of the card are usually HMO plans.