Fee Agreement & Insurance

We work hard to make care accessible.

We accept Medicaid (NJ FamilyCare), Medicare, and several commercial plans; we also help uninsured clients apply for coverage and offer financial-assistance options.

Please call our office to confirm your specific plan and benefits before your first visit. Network participation and benefits can change by plan, product, service type, and location. Copays/coinsurance/deductibles are due at time of service, and benefit verification is not a guarantee of payment.

Quick Overview

  • Insurance accepted: Medicaid (NJ FamilyCare), Medicare, and select commercial/Medicare Advantage plans (see lists below).
  • Uninsured? We participate in Presumptive Eligibility and can help you apply for NJ FamilyCare (Medicaid).
  • County & state funding: We collaborate with Middlesex County and Burlington County and participate in NJ Fee-For-Service (FFS) programs, including DUII, NJSI, and SJI, when eligible.
  • Sliding scale: Reduced-fee options are available based on financial need.
  • Out-of-network: You may self-pay at the time of service and submit for reimbursement; we’ll provide documentation to support your claim.

Plans We Accept (as of Sept 9, 2025)

Coverage can vary by service (e.g., OTP, SUD/OP, MH) and by site (New Brunswick/Burlington). Always call us to confirm your exact plan/product.

Medicaid (NJ FamilyCare) – Managed Care Organizations (MCOs)

  • Aetna Better Health
  • Horizon NJ Health
  • UnitedHealthcare Community Plan
  • Fidelis Care (formerly WellCare)
  • Wellpoint / Carelon (formerly Amerigroup)

Medicare & Medicare Advantage

  • Original Medicare (NJ Medicare)
  • Aetna Medicare (Assure)
  • Clover Health
  • Horizon TotalCare (Braven)
  • UnitedHealthcare Medicare (includes many AARP-branded plans)
  • Fidelis Care Medicare
  • Wellpoint / Carelon Medicare

Commercial Plans

  • Aetna
  • Cigna
  • UnitedHealthcare
    (Commercial participation may differ from Medicare/Medicaid products. Horizon BCBS NJ commercial is currently not listed; please call to verify.)

What to Bring to Each Visit

  • Your current insurance card (and photo ID)
  • Any updates to your insurance since your last visit (new plan, new ID, change in subscriber, etc.)
  • For financial assistance/funding (if applicable): proof of NJ residency, household income, and household size (e.g., recent pay stubs, benefits letter, lease/utility bill)

If We’re Out-of-Network for Your Plan

If New Brunswick Counseling Center is not in your network:

  • Payment is due at the time of service.
  • We’ll give you a summary/superbill so you can file for possible out-of-network reimbursement with your insurer.
  • Reimbursement depends on your plan’s out-of-network benefits and deductible.

If You’re Uninsured or Under-Insured

We can help you apply for coverage and reduce upfront costs:

1. Presumptive Eligibility (PE) & Medicaid Enrollment

  • We participate in Presumptive Eligibility and can start your NJ FamilyCare application with you.
  • If PE is approved, you may have temporary coverage while your full Medicaid application is processed.
  • If you later obtain insurance, you must notify us immediately so we can bill the correct payer.

2. County/State Funding & FFS Programs

  • We collaborate with Middlesex County and Burlington County to help eligible clients access county/state funding.
  • We also participate in NJ Fee-For-Service (FFS) programs, including DUII, NJSI, and SJI (eligibility varies by program and service).
  • Our team will screen you for all funding you may qualify for.

3. Sliding-Scale Fees

  • If you do not qualify for Medicaid or other funding, we offer a sliding-scale based on need so cost isn’t a barrier to care.

How to Navigate Your Benefits (Step-by-Step)

  1. Call us to confirm your plan/product and the service you’re seeking (e.g., OTP, SUD outpatient, mental health).
  2. Call your insurer (member services on the back of your card) and ask:
    • Is New Brunswick Counseling Center in-network for my specific plan/product?
    • Do I need prior authorization or a referral?
    • What is my copay/coinsurance and deductible for this service?
    • Are there any visit limits?
  3. Gather documents (see “What to Bring”).
  4. If uninsured, ask us about Presumptive Eligibility and funding/FFS
  5. At your visit, bring payment for any copay/coinsurance/deductible
  6. After your visit, review your Explanation of Benefits (EOB); contact our team if you have questions.

Good Faith Estimate (Self-Pay)

If you are uninsured or choose to self-pay, you have the right to receive a Good Faith Estimate of expected charges before services (per the No Surprises Act). Ask us anytime.

Your Responsibilities

  • Present a valid insurance card at each visit and whenever your coverage changes.
  • Notify us immediately if you obtain new insurance or if your insurance ends.
  • If you are not eligible for Medicaid or other funding, you are responsible for the full fee for services rendered.

Questions? We’re here to help.

Insurance and funding can be complicated—we’ll walk you through it. Call our New Brunswick or Burlington office and ask for Billing & Eligibility to:

  • Verify your benefits
  • Check network status for your exact plan/product
  • Start Presumptive Eligibility and Medicaid applications
  • Explore county/state funding, FFS programs (DUII, NJSI, SJI), and sliding-scale options

DCF-Contracted SUD Services (NJ Department of Children & Families)

We are contracted with the New Jersey Department of Children and Families (DCF) to provide Substance Use Disorder (SUD) evaluations and treatment.
 If you have a DCF/CP&P case or are working with family services or the court:

  • Contact your DCF caseworker for more information and to coordinate a referral and any required authorizations.
  • Our team will work directly with your caseworker to confirm eligibility, obtain approvals, and align your care plan with DCF requirements.
  • DCF coverage is separate from insurance; depending on the service type, there may still be copays or documents needed. We’ll explain what applies in your situation.

If you’re unsure whether you qualify, call our Billing & Eligibility team and we’ll guide you.

Refer Someone to Care

Judgment-free Help Starts Here.

If you’re concerned about a friend, family member, or patient—or you’re seeking help for yourself—use the secure form below. Our Intake Team will review your referral and reach out within 1–2 business days to discuss next steps, coverage, and scheduling. We welcome self-referrals.

Who We Help

  • Adults & adolescents (13–17) for mental health and substance use concerns
  • Therapy & counseling: individual, group, family, and Intensive Outpatient (IOP)
  • Medications for OUD & Alcohol Use Disorder when appropriate (e.g., methadone, buprenorphine—including long-acting options like Sublocade®/Brixadi®—and naltrexone/Vivitrol®)
  • Care management & community resources
  • Telehealth and in-person services
Locations

New Brunswick

  • 320 Suydam Street
    New Brunswick, New Jersey 08901

Burlington/Mt. Holly

  • 605 High Street Mount
    Holly, New Jersey 08060

How a Referral Works

  1. Submit the form with contact details and preferences.
  2. Intake call to understand needs, discuss services, and review coverage.
  3. First appointment scheduled—in person or via telehealth.
  4. Ongoing support with a personalized care plan.

Insurance & Payment

We accept Medicaid, Medicare, and many commercial plans. State funding may be available if you’re uninsured or under-insured. If you’re unsure about coverage, indicate that below—we’ll help you explore options.

For Professionals (DCF, hospitals, courts, schools, clinics)

You may upload referral documents (e.g., screening/ASAM, discharge summary, court order). DCF caseworkers may attach required referral/approval forms as applicable. We’ll request a Release of Information (ROI) when needed to coordinate care.

Privacy & Safety

We protect your information under HIPAA and 42 CFR Part 2 (confidentiality for substance use treatment). Please share only the minimum needed to make contact.
If this is an emergency or someone is in immediate danger, do not use this form. Call 911 or 988 (Suicide & Crisis Lifeline).