What are Out-Of-Network Benefits?

Some insurance companies and specific plans include out-of-network benefits. Sessions can be reimbursed by insurance after you pay the full amount and submit the necessary paperwork. I can provide statements that can be submitted to insurance so you can get reimbursed.

How do I contact my insurance so I can get sessions covered?

The first step is to contact your insurance company. Call the customer service line (located on the back of your card). Ask to speak to the benefits department.

What questions should I ask?

Ask them the following questions:

What are my out-of-network benefits for mental health services?

Are my benefits different for Telehealth than in-person services?

Is my coverage dependent on a diagnosis (are certain diagnosis codes covered, and others not?)

Do I have a deductible that needs to be met before services are covered (Do I have to pay a certain amount out-of-pocket before insurance will start covering services?)

What is the process for submitting materials for reimbursement? Is there a processing time?

How long before I should expect my reimbursement check?

What if I can’t get reimbursement?

I have a sliding scale spots open for those who need a reduced fee. Please reach out if you are interested in this option.