Frequently Asked Questions
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 and United Health/Optum.
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?
To use their EAP benefits, your client can navigate to growtherapy.com. Once the client finds their preferred provider, they can click “book a session” and add their EAP information to book their appointment.
Disclaimer: If a client is using EAP: United Healthcare/Optum, they will need to input an active UHC/Optum member ID with mental health benefits.
Disclaimer: 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.
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.
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 they do not have additional insurance coverage, they can see their provider at their cash pay rate.
Same insurance provider: If they 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.
