- Explanation of Benefits (EOB): This is a statement from your insurance company explaining how they processed a claim submitted by your provider. It will detail the billed amount, allowed amount, what the insurance company paid, and any remaining balance you owe.
- Premium: The monthly fee you (and/or your employer) pay to your insurance company for coverage.
- Deductible: The amount you have to pay out-of-pocket for covered services before your insurance starts sharing the cost.
- Copay: A fixed amount you typically pay for a covered service, often at the time of the visit.
- Coinsurance: A percentage of the cost you share with your insurance company after you have met your deductible.
- Out-of-pocket maximum: The most you will have to pay for covered services in a year (after deductibles and coinsurance).
- Allowed amount: The amount your insurance company has contracted with your provider for a specific service. Depending on how your policy was written either your insurance company or you will be responsible for this amount.
- Balance billing: When a provider bills you for the difference between their charge and the allowed amount (this is more common with out-of-network providers).
- In-network provider: A doctor or hospital that contracts with your insurance company to provide services at negotiated rates.
- Out-of-network provider: A doctor or hospital that does not have a contract with your insurance company.
- Prior authorization: Approval you may need from your insurance company before receiving certain treatments or services.
Frequently Diagnosed Conditions
Patient Resources
ADHD
Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder that frequently manifests in childhood and can persist well into adulthood, affecting the lives of individuals.
Read moreAnxiety
Anxiety disorders encompass a range of conditions characterized by excessive worry, fear, and apprehension that can interfere with daily activities and quality of life.
Read moreBehavioral Issues
Behavioral issues encompass a wide range of disruptive and maladaptive behaviors that may occur in children, adolescents, and adults.
Read moreBipolar disorder
Bipolar disorder is a chronic mental health condition characterized by alternating periods of mood elevation (mania or hypomania) and depression.
Read moreDepression
Depression is a common and debilitating mood disorder characterized by persistent feelings of sadness, hopelessness, and loss of interest or pleasure in activities.
Read moreMood Dysregulation
Mood dysregulation refers to difficulties in effectively managing and regulating one's emotions, leading to fluctuations in mood intensity and duration.
Read moreOCD (Obsessive-Compulsive Disorder)
OCD is a chronic mental health condition characterized by intrusive thoughts (obsessions) and repetitive behaviors (compulsions) performed to alleviate distress or prevent perceived harm.
Read morePTSD (Post-Traumatic Stress Disorder)
Post-Traumatic Stress Disorder (PTSD) is a mental health condition triggered by experiencing or witnessing a traumatic event.
Read moreInsurances Accepted
We make an effort to verify insurance benefits for new patients and at the beginning of the year. Additionally, we inform patients of your share of the costs. (If the annual deductible has not been met it would be the full insurance contracted amount. If the deductible has been met it will be the copay/coinsurance amount.)
We accept PPO plans for the following insurances. These insurances are the dominant carriers in our metro area.
It is important to note that these insurances also have HMO plans. If you have a HMO plan we will definitely need to verify benefits before we can schedule an appointment. In certain cases you will need a referral from your primary care physician in order to be seen.
Medicare recipients have the option of choosing a Medicate Advantage Plan. At this point we are only accepting Blue Cross Medicare Advantage and Aetna Medicare Advantage.
If we are out-of-network with an insurance we will inform patients in advance. If they still want to see one of our clinicians we will file a claim with their insurance for them. However, if the reimbursement is less than our cash rates the patient is asked to make up the difference.
Testimonials from our patients
About Us
Most asked questions
What services do you offer?
At Hinsdale Behavioral Health Clinic, we offer a wide range of psychiatric and counseling services.
Our offerings include Marriage Counseling, Medication Management, Family Therapy, Adult Psychiatry & Counseling, Geriatric Psychiatry & Counseling and
Child & Adolescent Psychiatry & Counseling.
Do you accept insurance?
We accept most leading insurances. We are very transparent with our patients and will verify benefits and tell them in advance what their share of the cost will be. This is critical as health insurances are passing the cost of health care back to the patients and patients will bear a greater share of the costs in the future. Additionally, we bill insurances on your behalf.
What should I expect during patient intake?
All new patient calls (from referring doctors’ offices or from patients themselves) are taken by our experienced staff who, by asking a few key questions, understand the patient‘s demographics, medical needs, physician preferences and scheduling constraints. We then match the patient’s unique needs with the most suitable professional in our group.
How do I schedule an appointment?
You can schedule an appointment by calling our office or using our online appointment request form available on our website.
What age groups do you provide services for?
We provide services for all age groups, including children, adolescents, adults, and older adults.
How do I prepare for my first appointment?
For your first appointment, please bring any relevant medical records, a list of current medications, and your insurance information.
Be prepared to discuss your medical history and current concerns.
Get the optimal benefit
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Understanding Health Insurance
At Hinsdale Behavioral we keep the interest of our patients front and center and strive to make sure they get the optimal benefit from their insurance plans.
With the goal of providing a seamless, “no surprises” interface between Hinsdale Behavioral and our patients we have developed this section to educate our patients on the functioning and terminology of healthcare insurance providers.
The information in this section is presented for informational purposes only and does not constitute financial advice. As such, we are not responsible for its accuracy or completeness.
Key terms you should know to understand health insurance:
By understanding these terms you will be better equipped to ask informed questions about your coverage and decipher your health insurance bills. The staff at Hinsdale Behavioral Health is also available to answer any of your health insurance or billing questions.
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