We are in network with the following insurance providers:

Aetna:

• Aetna POS

• Aetna Manage Choice

• Aetna Commercial HMO

• Aetna Commercial PPO

• Aetna Commercial EPO

Deseret Mutual Benefits Administrators (DMBA):

• All Plans (exception is BYU student plan as they must be seen at BYU Student Health Center)

EMI Health

• All plans

PEHP

• Advantage

• Advantage State

• Summit

• Summit Exclusive

• Preferred

• Capital

Regence BlueCross BlueShield of Utah:

• Blue High Performance Network (HPN)

• FocalPoint

• Individual and Family

• Preferred BlueOption

• SaveWell

Select Health:

• Select Choice

• Select Care

• Select Med

• Select Value

• Qualified Health Plan

• SelectHealth Share

• Select Access

*NOT Select Health Signature

University of Utah Health Plans:

• Healthy Preferred

• Healthy Premier

• U Health Plus

• HMHI

United Health Care/Optum

• Most plans

*We are not in-network with any Medicare or Medicaid plans

Even if you're using in-network providers, you may still be responsible for extra out-of-pocket expenses like copayments, coinsurance, or covering the full cost of services until you've met your deductible. Since every insurance plan varies, it's important to review your specific plan’s benefits or reach out to your insurance provider for clarification.

• Copayment: A set fee you pay at the time of your visit for covered services.

• Coinsurance: The portion, typically a percentage, you pay for a covered service after meeting your deductible.

• Deductible: The amount you must pay upfront for healthcare services before your insurance kicks in.

Your insurance company will provide an explanation of benefits (EOB) to outline any additional costs. To help manage copays or deductible expenses, you may be able to use tax-free funds from a flexible spending account (FSA) or health savings account (HSA). Be sure to check your plan for specific options.

If your insurance provider is not currently in-network with Ellis Psychiatric Healthcare, you may have other payment options to cover some or all of the costs of your Ellis Psychiatric services.

• Utilize our discounted self-pay rates.

• You can use your HSA or FSA cards as your primary payment method.

• You can submit an itemized invoice (superbill) for HSA or FSA reimbursement.

• You can submit an itemized invoice (superbill) as an out-of-network claim to your insurance provider for reimbursement.

Call our office and request a superbill.

Contact your insurance provider if you need help submitting a claim, using your HSA or FSA funds, or have questions about reimbursement.

In-Network Insurance: refers to our agreement with your insurance provider, where we accept a predetermined rate for each service. Choosing an in-network provider generally reduces out-of-pocket expenses.

Out-of-Network Insurance: means we submit claims to your insurance company without a formal contract. While this may result in higher out-of-pocket costs, it is often still more affordable than paying entirely out of pocket. Additionally, out-of-network coverage allows you to choose from a wider range of providers, giving you more flexibility to customize your care