About Paying for Therapy
We know that counseling can be an unexpected expense in your life. Most of our clients find that their insurance will reimburse them on an out of network basis, as will Health Savings Accounts (HAS) and Flexible Spending Accounts (FSA).
We will provide you with a session receipt (a Superbill) that contains all of the information insurance carriers require for you to submit for reimbursement on your own. It’s best to call your insurance company about your out-of-network benefits before starting treatment so there aren’t surprises.
Questions to ask your insurance company:
- How much are my “out-of-network” benefits for behavioral health? The CPT codes we typically use are:
- 90834 for a 45-minute individual session
- 90837 for a 60-minute individual session
- 90847 for 45-60-minute couples or family session
- 90791 for 60-90-minute initial intake session
- Is there an out-of-network deductible? If so, has it been met?
- Where can I find out-of-network claims form? Where/how do I send in the claim after I complete it?
NOTE: Mount Vernon Family Therapy is no longer affiliated with TRICARE. If you have TRICARE insurance, you cannot file for reimbursement for our services. Unfortunately, due to TRICARE’s policies, if you submit for reimbursement, you and we are then bound by their contract. Please let us know if you are a TRICARE subscriber and we can discuss options.
Good Faith Estimate Information:
Under section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a health insurance plan, a federal health care program, or not seeking to file a claim with their plan of all potential costs of services. At the time of scheduling, or by request before scheduling, all potential clients are to receive a “Good Faith Estimate” of expected charges.
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who do not have insurance or who are not using insurance an estimate of the bill for medical items and services.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
- Make sure your health care provider gives you a Good Faith estimate in writing at least one business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith estimate before you schedule an item or service.
- If you receive a bill that is at least $400.00 more than your Good faith Estimate, you can dispute the bill.
- For questions or more information about your rights to a Good Faith Estimate, visit www.cms.gov/nosurprises
We accept credit cards, checks, and cash.
Contact us with any questions.