INSURANCE

If you are interested in seeing me and I am not contracted with your health insurance plan, you may be able to get partial or sometimes full coverage for your care. Plans vary significantly so there isn’t one specific answer, these questions can help you and I to understand what you can expect financially.

Since I am out of network for  insurance, you pay the full fee ($175.00 for in intake/evaluation and $160 per visit thereafter), I can provide you a Super Bill to submit to your insurance plan. Your insurance may reimburse part or all of your amount paid. I strongly recommend you contact your insurer first so you don’t get any surprises a few sessions into therapy.

Look on the back of your insurance card for Behavioral Health  or Member Services to call them.

What do I ask my insurance company?

What is my coverage for outpatient mental health services?

Am I covered out of network? At what percent?

What is my yearly deductible, and has it been met yet? When does it reset?

What is the reimbursement rate for an out-of-network mental health provider for treatment codes 90791 (Initial Evaluation) and 90837 (55 to 60-min psychotherapy)

Is prior authorization required?

How many therapy sessions are covered per calendar year?

Are there any limits to my coverage?

I recommend you take notes when you call. In addition to the answers to these questions, get the name of the person you spoke to and ask for a reference number for the call, ensuring that your communication with the insurance company is documented on their end as well. Bringing this information to therapy will allow us to help you streamline the payment process as much as possible.

 

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