Do you accept insurance?

Posted by on Jun 21, 2011 in | Comments Off on Do you accept insurance?

No, I am not in-network with any insurance plans.  I am considered an out of network provider.  If you have a PPO, chances are good they will cover at least a part of the cost of your therapy, once your deductible is met.

How does that work?  You pay me in full at each session.  Once your deductible is met, you can begin filing a claim with the insurance company for partial reimbursement of your cost. I am happy to provide you with monthly statements of services rendered and to help you with the filing process.  I’ve seen PPO plans pay anywhere from 0-80% of the cost of care.  It varies widely.

To determine if you have out of network mental health coverage, the first thing you should do is check with your insurance carrier. Check your coverage carefully and find the answers to the following questions:

+ Do I have out of network mental health benefits?
+ How much does my insurance reimburse for an out-of-network provider?  What is the UCR (usual and customary rate) for psychotherapy in my plan?
+ What is my deductible?

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As of January 1, 2022, Federal protections are in effect regarding balancing billing (aka “surprise billing”).  Senate Bill 1264 from the Texas Legislature also protects consumers with state-regulated health insurance plans from unauthorized balance billing in emergencies or situations when the consumer did not select their provider.  You can learn more here.

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