Depending on your current health insurance provider or employee benefit plan, services can be covered in full or in part. Please contact your provider to verify how your plan compensates you for psychotherapy services.

We suggest asking these questions to your insurance provider to help determine your benefits:

• Does my health insurance plan include mental health benefits?
• Do I have a deductible? If so, what is it, and have I met it yet?
• Does my plan limit the number of sessions per calendar year I can have? If so, what is the limit?
• Do I need written approval from my primary care physician for services to be covered?

Pathways Family & Community Services can accept payments from the following insurance providers:

Aetna, Anthem, Care First, Cigna, GEHA, HealthKeepers Plus, Innovation Health, Optima, UMR

Please note: *Some Medicaid plans are accepted.*
Not all clinicians are in-network with the insurance plans listed above. Please call for more information.

At PFCS, we believe that everyone deserves access to quality care regardless of their financial situation. That’s why we’re committed to removing financial barriers and ensuring that no one is denied services because of an inability to pay.

To support our community, PFCS offers a Sliding Fee Discount Program for individuals and families who are uninsured, underinsured, or experiencing financial hardship. This program allows you to contribute what you can toward your care, based on your income and ability to pay.

Eligibility is determined solely by your financial situation. We welcome everyone, and we do not discriminate based on age, sex/gender, race, sexual orientation, gender identity, religion, disability, or national origin.

Discounts are available to those with household incomes at or below 200% of the Federal Poverty Guidelines (as set by the Department of Health and Human Services). These discounts, and nominal fees, apply to all outpatient clinic services provided directly by PFCS. Discounts can also be used toward payment of account balances, for clients who qualify.

To apply for the Sliding Fee Discount Program:

• Complete the Sliding Fee Scale Application Form (also available including information for all household members.
• Submit the required Proof of income for each household member. Proof of income will be accepted in the following forms: pay stubs (2 most recent), W-2s, 1099 forms, tax returns (most recent year filed), bank statements (2 most recent), and letters from employers or government agencies.

Please note: Discounts cannot be applied until all required documentation is submitted. 

To get an idea of what your payment may be, you can refer to the Sliding Fee Scale Determination Chart. 

We're here to help! If you have any questions or need assistance with the application process, don’t hesitate to reach out.

Please fax completed forms to 866-463-1099, or upload them in the client portal.