an insurance guide
for psychotherapy services
I do not accept insurance. However, I can provide you a monthly "superbill" that you can submit to your insurance company for reimbursement. If you plan to use your insurance, you should contact them before we see each other to verify what, if any, coverage you have.
The following is a list of potential questions that may help you when contacting your insurance company prior to your first appointment.
What are my mental health benefits?
How many sessions does my plan allow? Is there a limit on the number of sessions covered? Is there a limit on the length of sessions?
Can I see a therapist out of network?
If I see a therapist out of network, how much will my insurance pay?
The answer is often: “a percentage of usual and customary” based on the zip code where services are being offered. Ask about "usual and customary" services for 90064 (Los Angeles) or 91403 (Sherman Oaks), depending on where I will be seeing you.
Usually reimbursement also depends on the diagnosis. There may be some diagnoses that your policy does not cover.
Some reimbursement is contingent up the type of session (e.g. initial session, on-going visit, phone session, etc.)
5. What will your insurance carrier need from your therapist in
order to provide reimbursement?
Can you submit your therapistʼs invoice or superbill, or do they require a special form?
6. How long will it take to get reimbursed?
Note: Some insurance companies make special provisions for their clients who are already seeing a therapist. Occasionally, that therapist can be designated “in network” for your case alone. This may be worth asking your insurance carrier about.