An Important Investment in your Child’s Emotional & Mental Health
Cost should never get in the way of therapy, which is why we help you understand your out-of-network insurance benefits from the start. Dealing with insurance companies can be a confusing and frustrating experience.
Confirm the estimated reimbursement amount with your insurance company as they will have the most up-to-date information.
Questions to ask your insurance representative:
“Does my plan include out-of-network benefits for mental health care? Specifically, for outpatient psychotherapy?”
“Do I have a deductible for out-of-network mental health services? If yes, what is the remaining amount I will have to pay before my health plan starts to reimburse me for fees that I pay out-of-pocket?”
“What is the maximum amount my plan will reimburse for mental health service code 90837 with a Licensed Psychologist?” If the rep does not provide a clear answer, ask: “What is the maximum allowed amount for mental health service code 90837 with a psychotherapist, and what percentage of the maximum allowed amount will my plan pay?” (This percentage of the maximum allowed amount is the amount you would receive as reimbursement.)
“Am I required to obtain a referral or prior authorization for mental health service code 90837 with a psychotherapist?”