I am considered an “out­-of-­network” provider, as I do not participate in any managed care plans. However, my services are usually reimbursable through out-­of-­network insurance benefits. I bill clients directly, and provide a detailed invoice that you can use to apply for reimbursement from your insurance company. Payment is due at the time of our session, unless we agree to an alternate arrangement.

I recommend contacting your insurance company to ask about your out-of-network mental health benefits, using the following questions as a guide:

1. Do I have out-of-network benefits to see a licensed psychologist? Provide the following CPT codes to your insurance company representative:

   • Psychologist: initial session 90791 and follow-up sessions 90834

2. If yes, what percentage do you cover and is that a percentage of the total fee or the “usual and customary fee?”

   • If it is a percentage of the “usual and customary fee,” what is that amount?

3. Is preauthorization required in order to submit an out-of-network claim?

4. What is the deductible, and how much of the deductible have I met?

5. How many sessions are covered and within what time period?

6. What forms do I need to submit to qualify for reimbursement?