Frequently Asked Questions (FAQs)
What is an EAP?
An Employee Assistance Program (EAP) is a health and wellness service paid for by an employer. It is designed to provide assessment, referral, and limited counseling sessions for members and their families.
Which EAPs does Grow Therapy accept?
Grow Therapy accepts EAPs from Cigna, United Health/Optum, and Amazon Benefits.
What details does a client need when using an EAP?
Your client will need to reach out to their EAP administrator and obtain the following information:
Sponsor name: The name of the company, union, or group providing this benefit - not the name of the EAP provider.
Provider: The company that manages their EAP benefits on behalf of the sponsor.
Authorization number: A unique code used to apply EAP benefits to their sessions.
Effective date: The date their EAP eligibility starts.
Valid sessions: The total number of sessions authorized by their EAP coverage
How can a client use their EAP benefits on Grow?
To utilize their EAP benefits, your client can visit growtherapy.com to find a provider that accepts their EAP plan. Once the client finds their preferred provider, they can add their EAP information during the appointment booking process.
If a client is using EAP through United Healthcare/Optum, they will need to provide an active UHC/Optum member ID with mental health benefits.
If a client is using EAP: Cigna, they can input their Cigna member ID. If they do not have a Cigna member ID, we can still bill their EAP. They can put their authorization code in this field instead.
Amazon benefits
If a client is using Amazon Benefits, they will book through a dedicated page at growtherapy.com/benefits/amazon. No EAP-specific ID or authorization code is required at the time of booking. Clients will be prompted to provide insurance information for any sessions after their six complimentary sessions are used.
Why does my client still need payment information?
A payment method is required to cover late cancellation or missed appointment (No-Show) fees, as EAP or insurance companies do not cover these fees.
Amazon Benefits clients are not charged for late cancellations or no-shows. However, providers should still submit invoices for no-shows for Amazon Benefits clients. See below for more information.
Can I see how many EAP sessions my client has remaining?
Currently, providers are unable to view the number of EAP sessions a client has remaining. Due to this, clients must keep track of the sessions they have used.
What happens when a client uses all of their EAP benefits?
After all their EAP sessions are used, their continued coverage depends on their insurance status and the compatibility of their benefits.
No additional coverage: If clients do not have additional insurance coverage, they can see their provider at their cash pay rate.
Same insurance provider: If clients have both an EAP and matching insurance (e.g., Optum EAP and Optum insurance), their insurance will automatically cover sessions after their EAP benefits have been exhausted, and they will be charged the appropriate patient responsibility based on their benefit package.
Different insurance providers: If their EAP benefits and insurance providers differ (e.g., Optum EAP and Aetna insurance), they must manually update their insurance information in their client portal once their EAP benefits are depleted. Clients can contact their EAP admin to check their remaining sessions.
CPT codes for EAPs
If you have an EAP client, you should only see two options when submitting an invoice under Session Type. The restrictions on CPT codes for EAP clients relate to the structured nature of EAP benefits, which often cover a predetermined number of sessions within specific care categories (see examples below). For payout information, refer to the rates sheet; typically, you'll see the same payout as a regular follow-up session.
Cigna EAPs
You will have two options for Cigna EAP clients: Preventive medicine counseling and/or risk factor reduction intervention(s) (99404), or the "Client did not show up."
United EAPs
You will have two options for United EAP clients: Psychotherapy, 45 minutes (38-52 minutes) (90834), or the "Client did not show up."
Amazon Benefits
Amazon Benefits sessions cover talk therapy only and do not include medication management. When invoicing for an Amazon Benefits client, you will see standard time-based therapy CPT codes based on your session length:
90832: Psychotherapy, 30 min. (16–37 min)
90834: Psychotherapy, 45 min. (38–52 min)
90837: Psychotherapy, 60 min. (53+ min)
No-shows and late cancellations: You should still submit an invoice if an Amazon Benefits client does not show up or cancels within the 24-hour period. Your payout for no-shows will be based on the payout rate for the 90837 CPT code, regardless of the scheduled session length. Note that clients will not be charged the fee, and a session will not be deducted from their remaining balance.