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COST & INSURANCE OPTIONS

I am in-network with Blue Cross/Blue Shield PPO, Aetna PPO, and United Healthcare PPO.

My out-of-pocket fee is $175.

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Your co-pay and/or deductible will depend on your specific plan. To find out more about your specific plan’s coverage, try asking the following questions of your insurance company:

  1.  Do I have outpatient behavioral health coverage? 

  2.  What is my annual deductible amount and how much is remaining?

  3.  When does my deductible reset?

  4.  What is my co-pay and/or co-insurance amount(s)?

  5.  Is pre-authorization needed prior to beginning services?

  6.  Is there a per year session limit?

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If you are a member of an out-of-network insurance, I can provide you with a superbill that you can submit to your insurance for partial reimbursement at a later date. Most insurance companies will reimburse some percentage of the fee, depending on your plan. You would be responsible to pay the full out-of-pocket fee at the time of the session. 

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To find out about reimbursement options from your insurance company, inform a representative that you want to check your mental health benefits, and ask the following questions:

  1.  Do I have out-of-network outpatient behavioral health coverage? 

  2.  What is my annual deductible amount and how much is remaining?

  3.  When does my deductible reset?

  4.  Is there a percentage of all out-of-network costs incurred that my plan will reimburse me? 

  5. Do I have a limit to the allowable amount per session that my plan will reimburse me for out-of-network services I receive? For instance, will my plan reimburse me up to a certain percentage for costs at or above a certain dollar amount? (Knowing this information will allow you to determine what to expect to be reimbursed by your plan). 

Cost & Insurance: Insurance
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