Insurance Participation

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We will assist you in every way in seeking Out-of-Network reimbursement for services not covered by one of the companies listed. Upon request, a detailed statement of fees is provided for patient's submission to insurance companies for reimbursement.

We are unaware of any major insurance carrier in Georgia, other than the Active Duty Military's ECHO program for TriCare, that will reimburse for In-Home ABA services. However, we are always open to learning about new policies or changes in existing practices by insurers. Attached is our check sheet for investigating whether your insurance policy may cover In-Home ABA services.

Please note that most insurance companies do not cover psychological testing for developmental delays or learning issues, as they deem these services 'educational' rather than 'medical'.

Some insurance plans do cover a portion of costs for 'out of network' providers. Please check with your insurance company for further information.

Dr. Robert Montgomery is an accepted psychologist for the following insurance plans (for more information on any program please click on the logo for your insurance company).

Insurance Notes

You must notify us prior to or at the time of service that you are planning to use an insurance carrier to pay for your services. Once you have elected to pay out-of-pocket we are not obligated to bill your insurer or reimburse you any difference between what you insurer would have paid and what you have paid for the services rendered.
It is possible to have Major Medical coverage with an Insurance Carrier, for example BC&BS, and NOT to have ANY mental health (or Behavioral health) coverage on that policy. We make no representation to knowing what, if anything, your particular insurance plan will cover. It is best to contact your benefits manager and inquire if you have any questions at all about your plan's coverage.
Many insurers subcontract their Mental Health coverage to another company. These companies are in the business of administering Mental Health coverage for many mid-size and small insurers. Please check with your insurer or HR department to see if your Mental Health coverage is administered or provided by some other Company than provides your Major Medical coverage. BC&BS has been known to subcontract the mental health coverage to Cigna among others. If they do so you are NOT covered under the PPO contract for BC&BS and we can not do "in-network" billing for our services - sorry.
Blue Cross & Blue Shield of Georgia PPO provider. BC&BS is a loose affiliation of state-based health plans, because Dr. R. Montgomery is a PPO provider in Georgia he is typically covered under BC&BS PPO plans of other states as well - when in doubt contact your HR department or BC&BS of your state for additional information.
Tri-Care Insurance which is a predominant insurance company for the military families we serve. Dr. Robert Montgomery is a participating Psychologist under TriCare Southeast and Dr. Christine Montgomery is a participating BCBA.
APS & United Healthcare - PLEASE NOTE - We have resigned from APS & United Behavioral Healthcare (the Mental Health division of United Health). We did not take this action lightly. We are not accepting new patients using APS, United Healthcare or United Behavioral Healthcare. Current patients - our obligations under APS & UBH ended December 7, 2006.

Medicaid of Georgia - certified as a psychologist provider for Medicaid of Georgia. We currently are only accepting Traditional SSI-based Medicaid. We are not accepting patients with CMO administered Medicaid. Please contact us regarding our acceptance of Medicaid in your particular instance.

Please contact us regarding our acceptance of Medicaid in your particular instance.

PAYMENT POLICY
Payment is expected at the beginning of each office visit. We welcome the opportunity to discuss any special arrangements you deem necessary prior to the delivery of services. If you are insured under a managed care contract with which we are allowed to participate, your company requires that you pay your co-pay and present your insurance card at each office visit. Cancelling appointments without adequate notice will result in a missed appointment charge. Visits with your doctor require time and expertise and are therefore the office requires at least two day cancellation notice of confirmed consultations, otherwise a missed appointment charge will be charged. Extenuating circumstances will be considered. Insurance does not pay for missed appointments, you remain responsible for this fee regardless of your insurance plan or our participation.
We make no representation to knowing what, if anything, your particular insurance plan will cover. It is best to contact your benefits manager and inquire if you have any questions at all about your plan's coverage. We are not obligated to know if your plan will cover the services we provide - this is why we strongly urge you to inquire with the appropriate people if you have any doubts whatsoever regarding your insurance coverage. We will do everything we can to appropriately facilitate accessing your insurance coverage for services rendered at Reinforcement Unlimited. You must notify us prior to or at the time of service that you are planning to use an insurance carrier to pay for your services. Once you have elected to pay out-of-pocket we are not obligated to bill your insurer or reimburse you any difference between what you insurer would have paid and what you have paid for the services rendered. Contacting our office by phone is insufficient to ensure that we have accepted you as a Medicaid patient. Regardless of your insurance situation, you remain responsible for all costs associated with service not covered by your insurance.

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***In Accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), we have posted our privacy practices on our web site. Click here to view our privacy practices.***

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