INSURANCE
My practice is not directly affiliated with any of the insurance carriers. Therefore, I am considered an “out-of-network” provider. Your plan may include “out-of-network” benefits that reimburse fees for my services. I suggest contacting your insurance company to confirm the benefits that you are entitled to receive.
Keep in mind that all insurance companies will require a mental health diagnosis in order to process your claim. Flexible Spending Accounts, Medical Savings Account and Health Savings Accounts plans do not usually require a diagnosis.
FOR INDIVIDUALS — Ask what reimbursement you can expect for seeing an “out-of-network” provider for “Procedure Code 90806 - Individual Psychotherapy”.
FOR COUPLES — Most policies do not cover couples or marriage counseling, per se. They base their coverage on “medical necessity”. When inquiring about reimbursement, one of you would need to be identified as “the patient”, with the “procedure” being “Procedure Code 90847 - Family Psychotherapy” with an “out-of-network” provider.
FOR GROUP — Ask what reimbursement you can expect for seeing an “out-of-network” provider for "Procedure code 90857 - Interactive Group Psychotherapy".