Insurance & Payment Information
We are actively working on partnering with most major insurance providers to make our services more accessible. In the meantime, and always, we welcome self-pay options. Before enrolling in our programs, we recommend reaching out to your insurance provider with the following questions to ensure informed care:
Service Coverage
Do you cover the service code 90837 (individual psychotherapy, 60 minutes)?
Are other service codes like 90834 (individual psychotherapy, 45 minutes) or 90791 (psychiatric diagnostic evaluation) covered?
Are there any limits on the number of sessions covered per year?
Provider Requirements
What credentials must the provider have (e.g., licensed clinical social worker (LCSW), licensed clinical professional counselor (LCPC), psychologist, psychiatrist)?
Are there restrictions based on the provider’s licensure or certification?
Program Coverage
Do you cover intensive care programs, such as intensive outpatient programs (IOPs) or partial hospitalization programs (PHPs)?
Are there specific requirements or prior authorization needed for coverage of these programs?
Network Details
Does my plan cover out-of-network providers, and if so, what are the reimbursement rates?
What is the difference in coverage between in-network and out-of-network providers?
Deductibles and Copayments
What is my deductible, and how much of it has been met this year?
What are the copayment or coinsurance amounts for mental health services?
Preauthorization and Documentation
Is prior authorization required for mental health services or programs?
What documentation or referrals will my insurance require for coverage?
Exclusions and Limitations
Are there any specific exclusions or limitations related to mental health services in my plan?