INSURANCE

E & M counseling is considered an out of network provider.

We take immense pride in delivering the highest quality of care to our clients. It’s important to know that many insurance providers offer out-of-network benefits that you may not be aware of. We are here to offer guidance and support to help you fully understand and navigate your insurance options.

What does being an out-of-network provider mean?

As an out-of-network provider, we do not bill insurance companies directly. Instead, you pay us directly at the end of each session and at the end of each month, we provide you with a receipt or Superbill. This document can be submitted to your insurance company for reimbursement, should you have out-of-network benefits. Our aim is to equip you with the information needed to make the most of your insurance while ensuring you receive the exceptional care you deserve. 

Advantages of Private Payment/Out-of-Pocket

The choice to involve your insurance company in your mental health care is completely up to you. Many clients choose not to involve their insurance for the following reasons:

Session and Therapy Limitations:
Health insurance plans often place limits on the number of sessions and types of therapy they will cover.

Impact of Mental Health Diagnosis:
Insurance coverage usually requires a mental health diagnosis for therapy services. This diagnosis becomes a permanent part of your healthcare record, which may affect future access to quality of life or health insurance coverage.

How To Navigate Your Out-Of-Network (OON) Benefits

Start by calling the Member Services phone number on the back of your Insurance Card.  

When inquiring about out-of-network mental health benefits, consider asking their insurance company the following questions:

Do I have out-of-network mental health coverage?

Determine whether your insurance plan includes coverage for mental health services obtained from out-of-network providers.

What is the reimbursement rate for out-of-network mental health services?

Please ask about the percentage of the cost that the insurance company will cover for out-of-network mental health services

Is there a deductible for out-of-network mental health services?

Please ask whether if there is a deductible that needs to be met before the insurance coverage for out-of-network mental health services kicks in.

How can I submit claims for out-of-network mental health services?

At the end of each month, you will be provided with a Superbill that you can provide to your insurance company for reimbursement.

24-Hour Cancellation Policy

We value your time and strive to provide the best service to all of our clients. In order to respect everyone’s schedule and time, we require at least 24 hours’ notice for cancellations or rescheduling. If you fail to notify us within this time, you will be charged a $75 no-show fee. Please understand that this policy is in place to ensure that all clients have the opportunity to access the care they need.