In-network plans
The list below reflects our typical commercial in-network roster. Network participation can vary by state and by plan tier — please verify your specific plan when scheduling.
- Evernorth Behavioral Health
- Beacon Health Options (Carelon Behavioral Health)
- Magellan Health
- Anthem Blue Cross Blue Shield (state plans)
- Tricare (regional)
- Humana (commercial)
- UnitedHealthcare / Optum Behavioral Health
This list is updated as plans are added or retired. Please confirm coverage when you schedule.
What you'll typically pay
- In-network visits: your plan's behavioral-health copay or coinsurance.
- Out-of-network: we can provide a superbill for self-submission for partial reimbursement (where your plan permits).
- Self-pay: flat fees published on request. Most patients with insurance pay less than self-pay.
No surprises
Under the federal No Surprises Act (2022), uninsured and self-pay patients are entitled to a Good Faith Estimate of expected charges before care begins. We provide one on request and at scheduling for any self-pay patient.
Billing questions
Does Dairyland Medical Partners accept commercial insurance, and how can I verify my specific coverage before my first appointment?
The practice participates with a number of commercial insurance plans common to Wisconsin employers and marketplace purchasers. Before scheduling, our billing staff will conduct a benefits verification using your member ID and plan information; that verification will identify your in-network deductible status, applicable copay or coinsurance, and any prior-authorization requirements specific to behavioral-health services under your plan.
When is prior authorization required for psychiatric or therapy services, and who handles that process?
Some insurance plans require prior authorization before covering initial psychiatric evaluations, ongoing medication management, or psychotherapy beyond a set number of sessions. When your plan requires it, the practice's billing team initiates and manages the authorization request on your behalf; however, patients should be aware that authorization is a determination made by the insurer, not the practice, and is not a guarantee of payment.
If my employer changes my insurance plan mid-treatment, what should I do?
Notify the practice as soon as you receive confirmation of the change, and provide updated insurance information at least several days before your next appointment if possible. Coverage transitions can create gaps in billing eligibility, and early notification allows us to verify whether your new plan participates with this practice and to advise you on out-of-pocket exposure before it occurs rather than after.
Can I use a health savings account or flexible spending account to pay for services here?
Yes. Services rendered at Dairyland Medical Partners qualify as eligible medical expenses under IRS guidelines governing HSA and FSA funds, including copays, coinsurance, deductible-applied balances, and out-of-pocket session fees for self-pay patients. If your account administrator requires itemized documentation, we can provide that upon request.
What is a superbill, and when would I receive one from this practice?
A superbill is an itemized receipt that includes the diagnostic and procedure codes required for you to submit a claim independently to an insurance carrier that does not have a direct billing relationship with this practice. If you carry a plan with which we are out of network, we will provide a superbill following each appointment so that you may seek reimbursement directly from your insurer at whatever out-of-network benefit rate your plan provides.
What does the No Surprises Act good-faith estimate mean for patients at this practice?
Under federal law, uninsured and self-pay patients have the right to receive a good-faith estimate of expected costs before scheduled services, and this practice provides that estimate in writing prior to your first appointment. The estimate reflects anticipated charges for your care based on the services planned; actual charges may differ if the clinical picture changes, and you retain the right to dispute any bill that exceeds the estimate by more than $400.
Coverage questions? We will check for you.
Tell us your plan when you reach out — we will verify benefits before your first visit.