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Why Not Take All Insurances?

After nearly five years of managing insurance in my career, I have started the process of eliminating my participation with insurance companies. While growing my practice, I have noticed how the more time I spend on various insurance tasks, the less time I have to help people. Insurance companies have extensive paperwork, determine rates, have slower reimbursement times, and sometimes deny claims. These limitations block me from long-term business and personal goals. More importantly, these limits drain the energy I need to put towards clients and preparing for sessions. Stopping in network participation and switching to being an out of network provider puts more responsibility on the client, which is why I offer more information below to make things seem simpler.

What are Out of Network Benefits?

Unfortunately Out of Network (OON) benefits are not always offered by plans. If they are, these benefits can be used through providers who are not contracted with your plan. I am considered an OON provider for all plans besides Carefirst right now. OON benefits can still make a difference, but they tend to offer less options for you as a client. I use a program called Reimbursify which allows easy research around OON benefits and what those benefits are. You will not have to deal with the hassle of calling your insurance company to obtain what you need. Please click the “Use Your Insurance” button if you are interested in learning about your benefits. I will receive your inquiry and will get back to you with the information as soon as possible.

How Does Out of Pocket Work?

Reimbursify offers easy submission of your own claims. I charge you directly and after every session I provide you with a document called a Superbill which you will submit for reimbursement. It will show diagnosis and the code for a 60-minute psychotherapy session at the charged rate, and your insurance determines it from there. Reimbursify makes it much easier for you to submit compared to whatever process or forms your insurance company requires. If you have those OON benefits, your reimbursement will be sent directly to you. Again, please explore https://reimbursify.com/ or download the App to learn more about what claim submission can look like.

If you do not have OON benefits and would like to discuss a sliding scale (discounted rate), I am open to this! Please go to the “Clients” tab to reach out and schedule a free 10 minute consult.