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Therapy

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All About Insurance


Worth and Wellness Psychology operates as an out-of-network practice, which means that we don’t directly bill your insurance. 

You may still have access to therapy through your out-of-network benefits and many of our clients receive partial to full coverage for their appointments. We estimate that our clients with PPO insurance tend to receive reimbursement for up to 50% - 80% of the session costs. 


Why don’t you take insurance? 


That’s a great question. You may be wondering… if I have insurance, why wouldn’t  I just  work with an in-network provider? Here are some reasons why I choose to not take insurance. 

  1. More personalized care: Insurance companies will often only provide coverage for certain issues, a certain number of sessions per year, and at times they can be specific about what treatment approaches they will cover. I want you to be able to determine the number of sessions we spend together, rather than worrying about how many sessions are left for the year or whether your diagnosis will “qualify” as being reimbursable. 

  2. Fewer hoops to jump through: In order to get coverage, you do have to receive a mental health diagnosis. Insurance companies will not cover your therapy if you don’t have a diagnosis.**

  3. Dedication to expertise and training: When I’m not in sessions, I love attending conferences, reading the latest research, and pursuing training and education. This allows me to stay up to date and to offer you the latest information and approaches in the field. It also helps me to show up to each session as both focused and available to your needs. I simply would not be able to do this if I spent my extra time chasing down insurance companies for reimbursement or over-scheduling myself to accommodate for the low pay offered by insurance companies. 

  4. More Time for You: Without the hassles of navigating our current healthcare system, I have the flexibility to offer morning, afternoon, and evening times to better fit your needs. 

How does reimbursement work with an out-of-network provider?

  1. Pay for your sessions at the time of service. Your credit card on file will be charged at the outset of each session. We accept all major credit cards as well as FSA/HSA cards. 

  2. Request a Superbill. Let your therapist know that you would like to receive Suberbills. Our system sends them out automatically at the end of each month. If you know that your insurance runs a little slower and you’d like them sent after each session, we’re also happy to do that. 

  3. Submit your claim You can directly submit your Superbill to your insurance company or you can use a third party app like Reimbursify or Mentaya. 

  4. Your insurance company processes the claim Once you submit a claim, it is counted towards your out-of-network deductible. Once this has been met, your insurance company will begin to reimburse you for sessions moving forward based on the “allowed amount” - or the portion of the session that is reimbursable based on your unique plan (which may sometimes be less than what you paid for treatment). Typically, you can expect to receive either a check or direct deposit with your reimbursement amount within a few weeks or months of filing your claim. 

**A Quick Note about Superbills - in order to generate a Superbill, we will need to assign you a mental health diagnosis code. While many clients enjoy the benefits of a Superbill, there are certain times when you may choose not to utilize these benefits. 

Some examples of clients who might not choose to acquire a mental health diagnosis code are: folks going through a contentious divorce, holding a job with higher rates of being sued (e.g., physicians, dentists, lawyers), or folks who would not be able to work with a diagnosis on record or who simply might fear stigma (e.g.. pilots, law enforcement officers, etc…). 

It’s important to assess for yourself whether acquiring a mental health diagnosis is the right choice for your life circumstances and so I like to share this information with prospective clients so you feel empowered when making these decisions.

Verify Your Coverage

What questions should I ask my insurance?

Step 1: Check with your insurance Company. You can locate the member service phone number on the back of your insurance card

Step 2: Find out if you have out-of-network coverage. Ask the rep: "Does my plan include out-of-network benefits for mental health care? Specifically for outpatient psychotherapy? Do you cover in-person and also telehealth?" Some insurance companies are no longer offering coverage for telehealth, so please be sure to ask this as well.

Step 3: Find out if you owe a deductible before the coverage kicks in. Ask the rep: "Do I have a deductible for out-of-network mental health services, and if so, what is the remaining amount I would have to pay before my health plan starts to reimburse me for any fees I pay out of pocket?"

Step 4: Find out how much your plan will reimburse you. Ask the rep: "What is the maximum amount my plan will reimburse for mental health service code 90834 (in-person) or 90834-95 (telehealth) with a Psychologist? If the rep does not provide a clear answer, ask: "What is the maximum allowed amount for mental health service code with a psychologist, and what percentage of the maximum allowed amount will my plan pay?" (That's the amount that they would give you back).