Insurance and Financial Information

Quarternote Counseling participates with several insurance companies and offers options for those clients without insurance coverage who would be seen on a self-pay basis. Our administrative staff is happy to work closely with clients to assist with policy benefit verification and any authorizations that might be required. However, we do encourage all clients to be familiar with their insurance policy and benefits, as we are never able to guarantee any coverage or benefits.

Quarternote currently participates with the following insurance companies:

  • Anthem BlueCross BlueShield
  • CareFirst BlueCross Blue Shield
  • Virginia Medicaid, including Medicaid policies administered by Anthem HealthKeepers Plus, Aetna Better Health of Virginia and Molina Complete Care (formerly known as Magellan Complete Care of Virginia).

Quarternote Counseling does not accept or bill out-of-network insurance policies. If your insurance company is not listed above please continue reading below to explore your options.

For clients without insurance coverage, Quarternote accepts clients on a self-pay basis. In some instances, when eligible, a sliding scale may be used that would provide a fee reduction to the client. Sliding scale eligibility is determined based on the Federal Government’s “poverty guideline” practices. Quarternote reserves the right to limit the number of clients utilizing the sliding scale. Please contact us for more information.

Good Faith Estimate Notice
You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit