RATES, EAP & INSURANCE

Code 3 Counseling is now the

Monterey Regional Center

for

Restoration FirstResponder Centers

THE BENEFITS OF PAYING OUT OF POCKET

Your mental health information (including diagnosis) does not go on your permanent medical record, which is required through insurances.
We are not required to provide you with a diagnosis, which insurances require to prove "medical necessity".
You will not receive a surprise bill due to lack of reimbursement from your insurance. We have seen too many times where the insurance does not reimburse for services for many reasons, even after we have correctly completed the paperwork. Due to this unpredictability, we have chosen to not accept most insurances to prevent you from having this added stressor to your list.
You have full control over the frequency and length of services, not your insurance.
Private pay-based clinicians often specialize in their services, whereas clinicians in insurance contracts are often generalists to meet the contract requirements.
With our agency, we charge different rates based on the counselor you see. Rates are based on experience, training, and level of licensure.
For pre-licensed counselors, the cost is $120 per 50-minute individual session, $135 per 50-minute couples/family session, and $200 per 90-minute couple/family session. Our pre-licensed counselor is Liz Durfee, ASW.
For licensed counselors, the cost is $150 per 50-minute session, and $225 per 90-minute couple/family session. Our licensed counselor is Alisha Sweyd, LMFT.
The fees charged cover peripheral services for clients, including phone calls, texts, emails, support letters, research, consultations, and referrals as necessary. These services also help to ensure your treatment is tailored to your specific needs.
We have a 24-hour cancellation policy. If you cancel your session with less than 24-hours notice, you will be charged the full fee for the session.

EMPLOYEE ASSISTANCE PROGRAMS

CLAREMONT EAP

We are currently contracted with Claremont EAP for their First Responder Resource Program.
The number of sessions provided is determined by your department's contract with the agency.
Claremont's EAP services can be utilized by the responder, or any immediate family members, including children under the age of 26 no matter where they reside.
These services can be used for: work-related stress, personal life stress, exposure to trauma, depression, anxiety, adjustment issues, relationship issues, family dynamics, and many other personal reasons.
To utilize your EAP sessions, you will need to contact Claremont directly. DO NOT go through your department. Claremont will let you know how many sessions you have available. You can request to work with Alisha Sweyd and they will send the referral to us.
To contact Claremont EAP, call 800-834-3773.

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CONCERN EAP

We are also contracted with Concern EAP for their First Responder contracts.
The number of sessions provided is determined by your department's contract with the agency.
Concern's EAP services can be utilized by the responder, or any immediate family members, including children under the age of 26 no matter where they reside.
These services can be used for: work-related stress, personal life stress, exposure to trauma, depression, anxiety, adjustment issues, relationship issues, family dynamics, and many other personal reasons.
To utilize your EAP sessions, you will need to contact Concern directly. DO NOT go through your department. Concern will let you know how many sessions you have available. You can request to work with Alisha Sweyd and they will send the referral to us.
To contact Concern EAP, call 800-344-4222

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MAGELLAN EAP

We are contracted with Magellan EAP for their First Responder contracts.
The number of sessions provided is determined by your department's contract with the agency.
Magellan's EAP services can be utilized by the responder.
These services can be used for: work-related stress, personal life stress, exposure to trauma, depression, anxiety, adjustment issues, relationship issues, family dynamics, and many other personal reasons.
To utilize your EAP sessions, you will need to contact Magellan directly. DO NOT go through your department. Magellan will let you know how many sessions you have available. You can ask to be referred to Alisha Sweyd, LMFT and they will assign your case to us. They will provide you with a case/authorization number that you will need to provide to us when you call to schedule.
To contact Magellan EAP, call (866) 327-4762.

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24-Hour Cancellation Policy

When we place you on our schedule, we do not double book. We set aside that time for you. When you do not come to your scheduled session, we miss out on the opportunity to help other folks.
Should you need to cancel or reschedule your session for any reason, we request a 24-hour notice in order to be able to schedule someone else in the time slot. Less than 24-hours notice makes it difficult for us to find someone to fit the slot.
If you do not cancel with at least 24-hours notice, you will be charged the full fee for the session. Please keep in mind that insurances and EAP will not reimburse you for a late cancelled or no-show session.

INSURANCES

If you have a PPO plan, your insurance may be able to reimburse you for the sessions as an out-of-network provider cost. We can provide you with the proof of service to assist you with your reimbursement. If you choose to apply for reimbursement through your insurance, please understand that the medical information necessary to submit this to your insurance will include your diagnosis and will go on your permanent medical record.

When considering using your insurance for services, you should always begin by contacting your provider and asking the following questions:

● What are my mental health benefits?● What is the coverage amount per therapy session?● How many therapy sessions does my plan cover each year?● How much does my insurance pay for an out-of-network provider?● What is the deductible? How much is paid on it so far?● What is the out of pocket maximum? How much is paid?● Is approval required from my primary care physician?● Are there any exclusions or diagnoses not covered by my insurance? If so, what are the ones covered?● Where do I send the superbill?

PROVIDING MENTAL HEALTH SERVICES TO FIRST RESPONDERS, MILITARY AND THEIR FAMILIES

Serving folks in person in the Monterey Bay Area and online throughout the State of California.

You don't have to figure this out on your own. We are ready to meet you. To start your journey towards freedom, follow these easy steps:

    Contact Code 3 Counseling by email, give us a call, or schedule a free consultation now!
    Get connected with our team of competent and qualified counselors.
    Start winning the battle and defeating the obstacles that are keeping you from a free and peaceful life!