I am AN out-of-network provider. this allows me to offer a high quality service where my focus is fully on my clients. this means that the Client is responsible for full Payment at time of service; however, Many insurance companies reimburse clients a significant percentage of the Fee if you have this benefit.
You are encouraged to call your Member Benefits telephone number on the back of your insurance card and ASk:
what are My Mental Health Benefits? what is my yearly behavioral health deductible and have i met it? How many therapy sessions does my plan Cover? How much does my insurance pay for an out of network provider? is telehealth covered in my plan? Is approval required from my Primary Care Physician? *PLEASE SEE SECTION BELOW FOR ADDITIONAL QUESTIONS TO ASK REGARDGING TELEPSYCH (VIDEO) SESSIONS.
If you find that your insurance carrier will reimburse your sessions, I will provide you with a statement of services (each appointmenT) containing the appropriate Information for you to submit Directly to your Insurance company if you have out of network benefits/reimbursement.
I recommend you inquire with your insurance company regarding the logistics of reimbursement (For example, if there is a form that they require you to submit). PLEASE DO NOT CHECK THE BOX STATING REIMBURSEMENT SHOULD COME TO ME....ALL REIMBURSEMENT SHOULD COME DIRECTLY TO YOU.
insurance for VIDEO TELEHEALTH SESSIONS: I am offering video telehealth sessions. You will want to call your insurance company to inquire: - What is your reimbursement for an "out of network telehealth video session". - While you are on the phone, you are encouraged to inquire "what are the codes that my psychologist will need to provide on my superbill receipt?" AND "ARE THEIR ANY DEADLINES FOR TELEPSYCH COVERAGE FOR MY PLAN?" By providing me with this information it will likely increase the efficiency of your reimbursement process.