Do you take insurance? How does that work?

YES, we take insurance. Please contact your insurance company for additional information about your coverage. The insurance company works for you and is often more thorough about covered benefits with you, their customer.

When asking if a provider is in-network, give both the provider's name AND the Orka Health and Wellness, PLLC, MN location. Several of our providers work at different clinics with different in and out of network status.

Here is a list of recommended questions to ask your insurance company. We recommend taking notes including the name of the agent and the date you called to help with any appeals process if needed in the future.

• Is this provider in my network?

• Is this provider in-network at Orka Health and Wellness, PLLC?

• Do I have mental health insurance benefits?

• Do I need a referral from my primary care physician?

• Do I need pre-authorization or prior approval for therapy or nutrition?

• Are these procedural codes covered?
  Therapy CPT Codes: 90791, 90834, 90837, 90846, 90847, 90785
  Nutrition CPT Codes: 97802, 97803, 97804

• What is my deductible and has it been met? Is this for my family or for each individual?

• How much is my co-pay? What percentage of each session fee is covered?

• How many therapy sessions per year does my health insurance cover?

  A final determination on payment is only made when the claim is submitted, regardless of any information you or our clinic has been given. You remain responsible for paying any portion of service not covered, if your insurance does not agree to cover all or part of the services you received.

  Health Savings or Flex Savings Account (HSA/FSA) dollars can be used for most of our services. Medical insurance policies may cover all or part of nutrition or psychology services, but insurance can also decide that preventative or elective services are not “medically necessary” and thus not covered by your plan.

  
  What is the cost of services? What can I expect to pay?

  Here at Orka Health and Wellness, we work very hard to offer exceptional value to our patients and the community. After your first session with an Orka provider, we are able to give you an estimated cost for services with providers’ better understanding the types of services needed. We pride ourselves in walking you through your options and offering up-front transparent cost comparisons before committing to services.

  We offer both hourly rates and “bundled services” rates depending on the service you select. Choosing to self-pay allows you to choose a service “bundle” which will set the cost of services prior to starting services. This way you will know exactly how much services will cost and what they cover. Please be aware that insurance companies will only accept hourly bills submitted after service is completed. Comparisons are provided as a courtesy to help make informed decisions about care costs. However, the total cost of services is subject to change based on actual services provided. Though we try to provide you with an estimate to compare rates and payment options prior to starting services, it is not possible to receive an exact number of hours or exact cost until a service has been completed and submitted to insurance.

  Keep in mind that private paying clients can 1) avoid having their permanent health record include mental health diagnosis or personal, sensitive information, 2) freely choose services based on needs and values the patient and provider decides, and 3) determine the length of treatment and care desired without limits. (Your medical spending plan may require additional information to authorize).