Fees, Payment & Provider Information

Each plan opts in for specific professional designations. It is helpful to confirm what providers your plan covers. 

• Registered Social Worker (RSW)
• Master of Social Work (MSW)
• Canadian Certified Counsellor (CCC)
• Registered Psychotherapist (RP), including qualifying status

*Please note for RP (Qualfiying) we do not included external supervisors credentials.

**Please note we do not have Psychologist services.

Most plans will have a maximum dollar amount per year. 

Some people find it helpful to determine their budget when it comes to frequency of appointments. 

Some plans may only cover up to a certain dollar amount or percentage.

Benefit plans have a start and end date for coverage.  ex: Calendar or fiscal year, etc.

Each plan has its own determination of whether it has opted in for providers to direct bill. 

It is the responsibility of the client to verify with their extended benefits their coverage, approved providers, limitations, etc. 

We offer direct billing only for the clinic to receive payment. 

In the event a claim is rejected or not fully covered by insurance the client will be required to private pay for the session.

The plans below are the extended benefits, that have approved direct billing. 

If you have have other benefits, you may have covered for services, however you would need to submit your own claim submission

If direct billing is permitted by the plan, Maternal Health Niagara will be able to submit to the primary plan's insurance. 

Maternal Health Niagara does not provide coordination of benefits.

If the session is not covered in full by the insurance plan, the credit card on file will be billed the balance, unless otherwise advised by the client.

* The primary plan refers to either the client's plan

* If a client and their partner has a plan, we are only able to bill the clients plan. 

*For children, it defaults to the parent with the 1st birthday by month

Most plans allow people to submit their claims manually online or through the mail. Your benefit provider can tell you how they accept claims. They can also let you know their processing times and if they issue direct deposits or mail a cheque. 

After you have paid for your appointment, you will receive a receipt with your therapist's credentials, including their registration number. Most plans require these details at the time of submission. 

It is the responsibility of the client to have accurate information regarding their extended benefits and to notify Maternal Health Niagara in the event of any changes.