What are some questions I should ask my insurance?
Does my plan include out-of-network benefits for mental health care? Specifically, for outpatient psychotherapy?
Do I have a deductible for out-of-network mental health services? If yes, what is the remaining amount I will have to pay before my health plan starts to reimburse me for fees that I pay out-of-pocket? (You may have to pay a certain amount out of pocket before you may be reimbursed.)
“What is the maximum amount my plan will reimburse for mental health service code 90834 (individual therapy) or 90847 (couple or family therapy) with a Psychotherapist?” If the rep does not provide a clear answer, ask: “What is the maximum allowed amount for mental health service code 90834 or 90847 with a psychotherapist, and what percentage of the maximum allowed amount will my plan pay?” (This percentage of the maximum allowed amount is the amount you would receive as reimbursement.)
How do I submit a reimbursement?
When can I expect my reimbursement check to come my way?