Paying for therapy shouldn’t be a confusing hassle. If you’re eligible for insurance reimbursement, we make that process easy. We’ll turn your payment into an expedited electronic request for out-of-network reimbursement.
After you’ve met your annual deductible, your insurance company will reimburse you for the amount they cover.
We’re a fee-for-service, out-of-network practice, so here’s how you check your eligibility for insurance reimbursement.
1. Contact Your Insurance Company – Find their phone number on your insurance card.
2. See If You Have Out-Of-Network Benefits – Ask if your plan includes out-of-network benefits for mental health care.
3. Ask If You Have a Deductible Before Coverage Starts – Ask what your out-of-network mental health services deductible is and what amount you’ll have to pay out of pocket before your policy starts to reimburse you.
4. Find Out How Much Your Plan Will Reimburse – Ask about your policy’s maximum allowed amount for the mental health service code 90834 and what percentage your policy pays. Ask for that percentage for a psychologist and master-level therapist (social worker, professional counselor, etc.).
5. Use This Information To Understand What Therapy Will Cost You – The percent of the maximum allowed is what you’d receive as a reimbursement after you have met your deductible for the year.
NOTE: HMO PLANS, TRICARE, MEDICARE, AND MEDICAID DO NOT REIMBURSE FOR OUT-OF-NETWORK MENTAL HEALTH COSTS.
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