Can I use out-of-network benefits for my therapy sessions?

In some cases, you are eligible to use out-of-network benefits to obtain reimbursements for therapy sessions. You are responsible for paying for each session in full and I can provide a superbill that you can submit to your insurance company.

How much will I be responsible for if I’m using my out-of-network benefits?

As an out-of-network provider, I have partnered with Mentaya to help my clients save money on therapy. Use this tool below to see if you qualify for reimbursement for my services.

This will give you a personal estimate of your out-of-network coverage and/or benefits. For many that have out-of-network coverage, what’s typically covered is about 60% - 80% of the cost of each session. If you would like to submit for out-of-network reimbursement, I can provide a superbill that contains all necessary information and documentation for your insurance company.

Accepted Forms of Payment include:

All major credit/debit cards as well as HSA/FSA Spending Accounts

What else can I do to obtain out-of-network coverage for my therapy sessions?

I always encourage my clients to call their insurance directly at the member services number provided. Here is a list of additional questions you can ask.

• Do I have out-of-network outpatient mental health coverage? Am I able to use these benefits for telehealth?

• What is my out-of-network deductible?

• How much of my deductible has been met this year?

• Do I need a referral from an in-network provider to see someone
  out-of-network?

• What percentage of outpatient psychotherapy sessions are covered per session?

• Is the amount paid based on the actual session fee or another amount?

• How much will I be reimbursed for a 45-minute psychotherapy session (CPT code: 90834)?

• How do I submit claim forms for reimbursement?

• How long does it take for me to receive reimbursement?

How do I know if we are a good fit? And if we are, what happens next?

To begin, we will have a 15-minute consultation call so we can get to know one another better. This call allows me to get a sense of what’s bringing you to therapy, and what you’re looking for and ask any questions you may have. Additionally, I can more about myself, my style, and my approach.

If we are a good fit and decide to work together, I will send you some forms to fill out prior to our first session as well as the video link for our calls. I ask new clients to commit to 6 weekly sessions to get started. I have found that this is the best way to establish a strong foundation, gain momentum and start making real progress.