Insurance and Payment
Insurance and
Payment Options
At Bastion LLC, Dr. Miller believes that everyone deserves access to quality mental health care. He accepts a variety of insurance plans to make our services more accessible. If you have questions about your coverage or need assistance navigating your benefits, our team is here to help.
Bastion LLC partners with
Headway to manage insurance verification, copays, claims, and billing.
Private pay is also available, and I continue to provide
superbills and
out-of-network (OON) support for clients with non-participating plans.
What insurance plans do you accept?
In-Network Insurance Plans
Through Headway.co, Dr. Miller is currently in network with the following insurers:
- CareFirst BlueCross BlueShield (DC, MD, VA)
- Aetna (DC, MD, VA)
- Cigna (DC, MD, VA)
- Carelon Behavioral Health (DC, MD, VA)
- Kaiser Permanente of the Mid-Atlantic (DC, MD, VA)
- Anthem EAP (DC, MD, VA)
- Quest Behavioral Health (DC, MD, VA)
- Ascension (SmartHealth) (Maryland)
- Blue Cross Blue Shield of Massachusetts (Virtual Network for DC, MD, VA)
- Independence Blue Cross Pennsylvania (Virtual Network for DC, MD, VA)
- Horizon Blue Cross and Blue Shield of New Jersey (Virtual Network for DC, MD, VA)
Note: Virtual network participation depends on your specific plan design and will be confirmed through Headway’s verification process.
How Headway Works
Verify benefits:
Use the link above to confirm eligibility and estimated costs in minutes.
See costs up front:
Copay, coinsurance, and deductible amounts are set by your plan. Headway shows an estimate before your first appointment.
Simple billing:
Add a payment card in Headway. Charges are processed after each session.
Claims:
Headway submits claims directly to your insurer. Billing questions go to Headway Support; clinical questions go to Dr. Miller.
What payment methods do you accept?
Private Pay (Self-Pay)
Private pay is available if you prefer not to use insurance or if your plan is Out of Network.
Self-pay rates
- Initial evaluation: FREE
- Individual therapy, 30 minutes: $87.5
- Individual therapy, 50 minutes: $175
- Couples Therapy: $230
Good Faith Estimate
If you are not using insurance, you are entitled to a Good Faith Estimate (see below) of expected charges under the No Surprises Act. You will receive a written estimate before starting services and any time you request one.
Out-of-Network (OON) Reimbursement
⮞ If your plan is out of network, you can still work with me using private pay and seek reimbursement.
⮞ Call your plan and ask about OON mental health benefits, your deductible, and typical reimbursement for CPT codes 90791, 90834, and 90837.
⮞ Pay at time of service. I will provide a superbill with the required details.
⮞ Submit your claim through your plan portal or a claims app such as Reimbursify.
Reimbursement is not guaranteed. Your plan determines the allowed amounts and percentages. If you have any specific questions about payment methods, please do not hesitate to ask.
Can I use my Health Savings Account (HSA) or Flexible Spending Account (FSA)?
Absolutely! Services at Bastion LLC can be paid for using your HSA or FSA. Dr. Miller can provide you with the necessary documentation for reimbursement.
Please check with your HSA or FSA provider for specific guidelines regarding coverage.
Do you offer a sliding scale for payments?
Yes, Dr. Miller understands that financial situations can vary. He offers a pay-what-you-can sliding scale fee structure to ensure that services remain accessible to everyone.
Please inquire during your initial consultation to see if you qualify for this option.
What if I need to cancel or reschedule my appointment?
Dr. Miller understands that life can be unpredictable. If you need to cancel or reschedule, please notify him at least 24 hours in advance to avoid any cancellation fees.
⮞ Late cancellations (less than 24 hours’ notice) and no-shows are charged at the full session rate.
⮞ Insurance does not cover these fees.
⮞ If you have any specific concerns, please do not hesitate to ask.
Frequently Asked Questions
Which insurance plans can I use?
See the list above and verify your plan through Headway.
Can I switch between insurance and private pay?
Yes. Notify Dr. Miller before your session if you need to change your payment method.
Do you accept HSA or FSA cards?
Yes. HSA and FSA cards can be used for both Headway payments and private pay sessions.
Do you accept Medicare or Medicaid?
No. Dr. Miller is not enrolled with traditional Medicare or Medicaid.
Where can you see clients?
Services are provided via secure telehealth to clients physically located in Maryland, District of Columbia, and Virginia at the time of session. Dr. Miller also holds PSYPACT privileges, allowing services in additional states when applicable.
Do you see couples and families?
Yes. Dr. Miller provides therapy for individuals and couples. Couples sessions may be covered by some insurance plans when one identified patient is listed, though many clients use private pay. Dr. Miller does not provide therapy for families.
Do you see children or adolescents?
No. Dr. Miller works with adults only and does not provide therapy for children or adolescents.
What is your cancellation and no-show policy?
Appointments must be canceled or rescheduled at least 24 hours in advance. Late cancellations and no-shows are charged at the full session rate, and insurance does not cover these fees.
Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
- Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
- Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 800-985-3059.
