Reserve Your Spot for The Heart of Parenting August 18th-October 8thMondays & Wednesdays 5pm (EST) Name * First Name Last Name Email * Phone (###) ### #### Payment Preference * $20 weekly (totaling $160) *Opting out of billing insurance $150 (flat fee up front) *Opting out of billing insurance I am unable to pay this rate and need to use my insurance If you wish to use insurance, which do you have? Aetna (private/commercial) Aetna Better Health of KY (Medicaid) Anthem BCBS Humana Healthy Horizons (Medicaid Passport (Medicaid) Passport Marketplace Optum/United HealthCare (Medicaid) Optum/United HealthCare (private/commercial) WellCare of Kentucky (Medicaid) Ambetter with WellCare (private/commercial) What additional information or questions would you like to add? Thank you for signing up! You will receive an email within 48 business hours to confirm your reservation and discuss next steps!