Services
Forms and Agency Documents
REFERRAL FORM (click to download)
CLIENT BILL OF RIGHTS (click to download)
Insurance Plans Accepted (may vary slightly between providers):
Medicare
Preferred One
Sanford
South Country
TriCare West
UCare
United Behavioral Health
United Health
Aetna
Blue Cross Blue Shield
Blue Plus (PMAP)
Cigna
ComPsych
Health Partners
Minnesota Medical Assistance
Medica
Contact Your Insurance Company
It is recommended that you contact your insurance provider prior to scheduling any services to ensure that you are aware of your coverage and anticipated cost - deductibles, copays, co-insurance, etc. Below is a helpful script to use when contacting your insurance provider:
“Hello, I’m calling to clarify coverage for mental health services and confirm that (provider name) at Ellison Center is within network. Can you please let me know if I have any deductible, copay, or co-insurance costs? If that provider is working as an intern or is under supervision are they also covered as within network?”
Sliding Fee Scale
It is the policy of Ellison Center to provide essential services regardless of the patient's ability to pay. Discounts are offered based on family size and annual income. Please reach out to our admin team for a sliding fee scale application to determine if you or your family members are eligible for a discount. The discount will apply to services received at this clinic. The application must be completed every 12 months or if your financial situation changes.