Pricing

HOW DO I FIGURE OUT MY OUT-OF-NETWORK COVERAGE FOR PSYCHOTHERAPY?

My services may be eligible for full or partial reimbursement as part of your out-of-network benefits. To help facilitate out-of-network claims, I provide a monthly Superbill that includes the information necessary to submit for reimbursement to your insurance company.

I encourage you to contact your insurance company to ask the following questions in order to learn more about your out-of-network coverage:

• How much coverage is available for out-of-network providers? For instance, what percentage of the fee does the insurance company reimburse?

• What is the deductible (i.e., the amount you’re required to pay before you’re eligible for reimbursement)?

• Does the insurance company set a limit on the number of sessions per year? If yes, what is the total number of sessions per year?

• Does the insurance company limit the total amount reimbursed per session? If so, ask how much they reimburse for the following CPT Codes (also known as “procedure codes”):

  • 90791 (initial evaluation or consultation appointment)

  • 90834 (typical 45- to 50-minute session)

  • 90837 (an extended 60-minute session; please note: some companies don’t reimburse this code).