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Insurance and Policies

As a Licensed Clinical Professional Counselor, my professional services qualify for patient reimbursement under most insurance plans.

Although the choice to use your insurance for reimbursement of therapy is yours, please consider the following before making this decision:
  • Insurance companies are designed to reimburse for the treatment of illness. Therefore, a psychiatric diagnosis is required before any reimbursement is allowed.
  • Managed care companies control many facets of your therapy, including the medical necessity of care, the type of therapy they will cover, and the duration and pace of therapy.
  • All insurance companies require some personal information in order to facilitate processing your claim.
Because I value confidentiality and believe that your therapy should be guided by you and not your insurance company, I am not, “In Network” with any managed care plans. To find out what your insurance plan will reimburse you for, call them and ask the following questions:
  • Do I have mental health benefits?
  • Does my plan have out of network benefits?
  • What does the company allow (“reasonable and customary”) for the following codes: 90791, and 90837?
  • How much does my plan cover for an out of network mental health provider?
  • Is approval required from my primary care physician?
  • Are there standardized forms I will need to submit for reimbursement? Where do I find them?
  • What is my annual deductible and has it been met for this year?
  • When does my calendar year start?
  • How many sessions per calendar year does my plan cover?