January 21, 2018

Insurance

I am no longer on any health care insurance provider panels, so any charges to see me will be considered by your insurance provider as an ‘out-of-network’ service. As such, I am a ‘direct service provider’ and payment is expected at the time of service unless we agree otherwise.  I can provide you with receipts that detail the service provided, the fee and payment, a diagnosis and my license information, which you may then submit to your insurance company for consideration. While the services I provide are generally covered as an out-of-network service, the amount covered varies widely by policy and you will likely pay more to see me than you would pay to see an ‘in-network’ provider. If using your insurance is important to you, I suggest you call your insurance provider and ask the following questions:

  • Does your policy have an out-of-network benefit?
  • Does your plan require pre-authorization for mental health services?
  • Is couple/family counseling a benefit of your policy (if applicable)?
  • What is the deductible amount for seeing an out-of-network provider?
  • Once the deductible has been met, what is your benefit?
  • How many sessions are covered?

I will help by providing the information needed to submit claims, but the ultimate decision on claim payment is made by your insurance provider.