Yes, of course! If you have out-of-network benefits you are welcome to use them. I am happy to provide you a monthly coded superbill, which you can then submit to your insurance plan for reimbursement.

If you have out-of-network benefits, your insurance company will typically pay 60-80% of the cost of each session after you’ve met your deductible.

Verify your benefits instantly here: mentaya.co/b/checkyouroonbenefits

I’m also happy to check your benefits for you during our free intro call! Just make sure to have your insurance card handy, with your Member ID.

Or if you prefer, you can confirm the benefits of your health insurance plan with your health insurance provider directly. Just call the number on the back of your health insurance card listed under Member Services.

You can ask them the following questions:

• Do I have out-of-network outpatient mental health coverage? Am I able to use these benefits for telehealth?

• What is my out-of-network deductible?

• How much of my deductible has been met this year?

• Do I need a referral from an in-network provider to see someone out-of-network?

• How much will I be reimbursed for a 45 minute psychotherapy session (CPT code: 90834) and how much will I be reimbursed for a psychotherapy PLUS medication management session (CPT code 99214 PLUS CPT code 90836)?

• How do I submit claim forms for reimbursement?

• How long does it take for me to receive reimbursement

• Lastly, sometimes insurance companies request the zip code where I provide services, which is 10128.

Your out-of-network benefits are usually pretty straightforward to use. I will provide you with a monthly “super-bill” that you can submit to your insurance company. The insurance company then sends you a check to reimburse the amount they have agreed to pay based on your plan.

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 don’t 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 1 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 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, visit www.cms.gov/nosurprises or call 800-985-3059.