Lotus Counseling Services, PLLC

Samantha Zaremba Request an appointment

Billing & Payment

Administrative

1 Appointment info

2 Prescreener

Administrative

Billing & Payment

3 Contact information

How do you plan to pay for services?

If using insurance, please upload your insurance card below. This allows us to verify your insurance benefits and provide you with a cost estimate.

Anthem PPO Blue Cross Blue Shield PPO Aetna PPO or POS Cigna PPO Indiana traditional Medicaid (not through Anthem, Caresource, MHS, etc.) EAP - if using EAP, we will reach out for more details Private pay ($150/session)

Uploading your insurance card helps us confirm your appointment and verify your benefits ahead of time. If you don’t have it right now, you can continue and we’ll follow up after scheduling.

Insurance card upload

Upload a photo of your insurance card

What is your relation to the primary insured?

I am the primary insured. My spouse is the primary insured. My parent is the primary insured. I am not using insurance.

What is the name of the primary insured? (REQUIRED to bill insurance)

What is the date of birth of the primary insured? (REQUIRED to bill insurance)

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.