Although we are out of network for insurance, you can request a statement of services that can be used to submit to your insurance company towards your out of network mental health benefit, and have any reimbursement paid directly to you.
We send out statements on a monthly basis, at the first of the month.
As we are a specialty practice, you may request for your insurance plan to consider your treatment as in-network through a single-case agreement and reimburse you directly at in-network rates. This would be applicable for specialty services such as EMDR therapy, DBT therapy, eating disorder treatment, child and play therapy, serious mental illness, etc.
You may also use your health savings account or flexible spending account to pay for sessions with your counselor.
Please complete the form to request a statement:
If you will be seeking reimbursement from your insurance company, we recommend reimbursify – an app to help patients who pay out-of-pocket to get reimbursed by their health insurance.
Once you sign up with their app you can upload the superbills we provide you with to simplify the reimbursement process from your insurance.
Reimbuirsify will submit your superbills to your health insurance on your behalf. You can click here to get 5 free submissions. After that, there is a small fee for them to submit your claims.
**If you choose to file with your insurance company, be sure to call the number on your insurance card prior to your appointment to find out your out-of-network benefit details.**
Questions to ask your insurance company when you call:
- Do you reimburse for out of network mental health services
- What is my deductible
- Do you require pre-approval of services before you will reimburse
- What mental health services (codes) do you cover/not cover
- What is the allowable amount *If they say they can’t tell you this, that’s not true. It is against the law for them to withhold this information from you.
Under the law, health care providers need to give clients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.
- You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service, or at any time during treatment.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, or how to dispute a bill, see your Estimate, or visit www.cms.gov/nosurprises or call us at 832-479-1035.
If you have further questions or concerns regarding billing, please contact Frankie at firstname.lastname@example.org. You can also reach her directly at 832-479-1035.