Out of Network and Private Pay

I am an independent provider and I do not file insurance claims, nor contract with Managed Care, but because I’m a Licensed Professional Mental Health Counselor, some health insurance plans will help you pay for therapy.

Some insurance companies may cover part of your fees. You will need to determine the reimbursement policies of your insurance company. I can provide you a written statement to submit to them.

In many cases, before you can get reimbursed by your insurance company, your therapist would have to diagnose you with a mental disorder or issue. This diagnosis would be sent to the insurance company and recorded in your medical file. In some cases the therapist would also have to provide additional clinical information to the insurance company, such as treatment plans, summaries or copies of the entire record.

Payment Confidentiality

Some insurance companies require information about your therapy. Insurers, such as managed care organizations, ask for much more information about you and your symptoms, as well as a detailed treatment plan. This becomes part of your medical record. To protect your privacy, I will not send statements or any other information to your insurance company. I’ll only give that information to you to send to your insurance company.