Do You Accept My Insurance?
After several years providing care for members of several insurance plans I have chosen to terminate all contracts with insurance companies. BUT…please keep reading below on options to file with your insurance.
Can I Use My Out-of-Network Benefits?
Yes. We can still work together using your out-of-network benefits if your policy has a provision for reimbursing you for the fee you paid to me. Often this amount you are reimbursed will be greater than the maximum amount paid to an in-network provider.
What Questions Do I Need to Ask My Insurance Company Representative?
Most policies today include a mental health benefit. Depending on your current health insurance provider or employee benefit plan, it is possible for services to be covered in full or in part.
An often overlooked consideration in making the choice between insurance and fee-for-service is that all insurance companies require a mental health diagnosis be given in order to pay for services. This diagnosis will become a part of your permanent health information record.
If you want to use your insurance benefits, I strongly recommend you directly contact your insurance company representative to verify how your plan compensates you for psychotherapy services.
This Tips for Using Your Out-of-Network Benefits guide will help you navigate the conversation with your insurance carrier’s benefits representative.
If you want to use your out-of-network benefits please let me know. I will provide you with a statement called a “Superbill”. This statement shows: the 5-digit billing code, dates of service, amount you paid me, your diagnosis code, and other information required to initiate the insurance reimbursement process. You submit the Superbill to your insurance company using the procedure for filing they described during your call to determine your benefits.
Missed Appointments and Insurance Reimbursement
If you are unable to attend a session, please make sure you cancel at least 24 hours beforehand. Otherwise, you may be charged for the full rate of the session as a Missed Appointment Fee. Please be aware that insurance will not pay or reimburse for any portion of a missed appointment fee. Likewise, Health Savings, Flex Spending or Health Reimbursement cards generally do not accept charges for missed appointments.
Any Other Questions
Please contact me for any additional questions you may have. I look forward to hearing from you!