Many of our clients who are not members of participating insurance plans have obtained single case agreements (SCA) from their insurance company, which allow OON insurance clients to get services at CAASS at in-network terms.
Basically if you get a SCA, CAASS providers are in-network just for you.
We have had a high success rate obtaining SCA from most insurance plans that are regulated by the state of Ohio** for clients with suspected or diagnosed Autism. CAASS will bill for you if you have a single case agreement.
Please contact CAASS for more information on how to request a single case agreement from your insurance company if we are not in network. We are happy to help you with this.
An excellent explanation of single case agreements from Vinodha Joly, LMFT can be here.
Other Insurance Companies
CAASS is not in-network with the insurance companies below, but some of CAASS’s affiliated clinicians may be able to bill the companies below in-network:*
OON (Out-Of-Network) Insurance Benefits
You may be able to get your insurance to reimburse you for what you spend out of pocket in therapy.
CAASS LTD is happy to provide self-pay clients with a superbill that they can submit to their insurance company to access any out-of-network (OON) benefits.
If you have a PPO or POS printed on your insurance card, you likely have out-of-network benefits.
Medicare and Secondary Insurance
CAASS cannot accept Medicare for regulatory reasons. This includes persons who have both Medicare/Medicaid unless the client has pre-authorization.
CAASS will not bill secondary insurance (e.g. you have Medicare as your primary insurance and say Anthem as your secondary). CAASS will provide you with any information (superbills, Form 1500, etc.) you need to make claims to secondary insurance.
Please contact us for current fee schedule.
*Health insurance is very complicated and not all plans even form the insurance companies have the same networks. There is no guarantee that CAASS is in-network for your plan just because it is listed above. It is the client’s sole responsibility to make sure what their insurance covers.
**Some insurance plans are regulated by the federal government, including most employer funded plans. These federally regulated plans have been more difficult to get SCA’s from.