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I provide Telehealth services on several platforms, and "telehealth/distance counseling" is generally covered by all major insurance plans, at least during the current phases of Covid related procedures.
Additional Telehealth, telephone counseling and coaching rates, and payment plans are available on a limited basis for those clients without insurance.
Due to rapid and continuous changes in insurance company response to COVID-19, it is especially important that you stay on top of how your individual insurance plan is handling your coverage. Below is a list of questions to ask your insurance company, along with some additional information. We do our best to get you accurate benefit information; however, we cannot guarantee that we are given accurate information, and we are unable to respond to the thousands of different current telehealth policy changes and waivers. It is becoming more and more common for provider call centers not being able to access current telehealth information.
Get ready for your call to member services:
What you will need:
Member Services number on the back of your insurance card:
Provider NPI #
Your member ID
What to ask:
What are my mental health office visit benefits?
Do I have telehealth coverage?
a.) Are there telehealth platform requirements? (Teledoc, MDLive) Please note that your provider does NOT use these platforms.
b.) If there is a telehealth platform requirement, is there a waiver in place that is suspending that requirement due to COVID? If so, through what date?
2. Is cost share being waived for telehealth providers? If so, through what date?
3. Is my provider in network with my plan? (Use the NPI number your provider has given you.)
If you are told that there is a telehealth platform requirement that is currently being waived due to COVID, please make sure to note the end date of that waiver and call back at that time to see if they have extended the waiver.
Some insurance plans I participate with are:
EAN (Employee Assistance Network)
... and most other plans consider me either "out-of-network" provider, with coverage depending on your specific plan details, and occasionally pre-authorization required...please ask your insurance company
Services may be covered in full or in part by your health insurance or employee benefit plan.
Please check your coverage carefully by calling the customer service number on the back of your insurance card and asking the following questions:
- Do I have mental health benefits?
- What is my deductible and has it been met?
- How many sessions per calendar year does my plan cover?
- How much does my plan cover for an out-of-network provider?
- What is the coverage amount per therapy session?
- Is approval required from my primary care physician?
Some additional insurance companies reimburse clients for my services and some do not. If so, covered rates and services are usually only determined by a representative from your insurance agency. I will be happy to file claims for you but cannot guarantee eligibility or that those claims will be paid by your insurance company.
If insurance pre-authorization is required, please inform me
Checks and Visa or Mastercard credit cards accepted for payment.
If you do not show up for your scheduled appointment, and you have not notified us at least 48 hours in advance, you will be required to pay the full cost of the session.
Request an appointment online here.
Questions? Please contact me for further information.