About Insurance
Many people initially believe that they would like to use their
health insurance 'in-network' to help cover the cost of their
therapy.
****If after reading the following, you still need/want to use
your insurance, then check your policy as to your benefits and
the time frame for submitting them.****
I am an out-of-network care provider only.
I don't take insurance for several reasons:
1. You will have to be given a mental disorder diagnosis in order
to be covered by your insurance. Marriage, relationship, parenting,
and couple's counseling are not covered by health insurance unless
at least one of the insured clients is given a mental disorder
diagnosis. I don't believe that all people who seek counseling
either individually or as a couple/family necessarily have any
mental disorders.
2. If you choose to use your insurance company, they will keep
your mental disorder diagnosis and other submitted information
as part of your medical records forever. If you are or may become
self insured, this will likely effect your rates. If you apply
for life or disability insurance, they will have access to these
records as well.
3. If you use insurance in-network, your therapist will have
to submit your treatment plan for them. The therapist may have
to discuss your therapy progress with your insurance case managers
or write a report about you in order to justify why continued
sessions are necessary. They will want to know that you are still
sick and that you are making progress to get better. I am not
comfortable writing and/or talking about your mental health with
anyone let alone with someone we don't even know at your insurance
company. (Please also see the confidentiality page on my website).
You may choose to submit the superbill receipt that I give you
at each session as out-of-network only.
4. When you submit out-of-network, your insurance company will
require less information about your mental health than if it is
submitted as "in-network". They will only require the
mental disorder diagnosis. I will give you 2 copies of your superbill
at each session to submit as 'out of network' to your insurance
if you choose. It will include your diagnosis if you have one.
This should be all that you need. I will have no contact with
your insurance company and this way you will know exactly what
information they have about your mental health. I will collect
the full fee from you at each session and you will receive any
reimbursement directly from your insurance.
You don't have to decide immediately whether or not to submit
your superbill to insurance. Many people keep them for a month
or so while deciding whether or not to mail them in depending
on how many sessions they can afford.
*** ANOTHER OPTION TO CONSIDER:
If you have a "Health Savings Account" or "Flexible
Spending Account," check with your policy. It might be a
better way for you to seek reimbursement without confidential
information having to be disclosed.
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