There are a few reasons why I do not take insurance that I'd like to share for full transparency:
-Insurance companies require a diagnosis and not everyone meets the criteria for one or wants one on their record
-Insurance companies can request access to your records at any time and determine if you need therapy without ever seeing you
-Some insurances have a limit on how many sessions a client can have, despite your wants or needs
-They control the reimbursement rates of the session and often do not take into account the therapist's experience or trainings. They also rarely give raises.
If you currently have insurance and want to use it for therapy, you may be able to do so. You will need to call your insurance company and inquire about your out of network benefits. Some insurances allow you to see providers who are not paneled with them and the insurance company may reimburse you a percentage of the fee you paid your therapist.
You will pay the practice the full fee and then I can provide you with a superbill, which is basically a receipt for sessions that you give to your insurance company for proof of services for reimbursement purposes. You can also use Reimbursify to streamline this process.
When calling your insurance company, ask the following:
*Do I have out of network mental health benefits? Including Teletherapy?
*If so, what is my deductible? Has it been met?
*How many sessions does my plan cover?
*How much will you reimburse for an out-of-network provider?
*Do I need approval or authorization from by PCP?
*How quickly will I receive my reimbursement checks?
Typically, we will meet weekly for the first few months to get to know each other, go over your history, and set some goals. After you feel comfortable and ready, we will switch to sessions every other week. Eventually, we may move to monthly sessions if you're reaching your goals and prefer to space out sessions.
*I am currently ONLY seeing clients virtually
*I can only see client who currently reside in North Carolina and Virginia due to licensing regulations.
*I see clients Monday through Thursday from 11am-6pm and am only available during those hours.
*I am registered with a company called Reimbursify. They allow you to upload and submit your superbill to the app and they file it with your insurance for you. Download their app to submit your claims from The Therapy Suite PLLC
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.
I will give you a Good Faith Estimate in writing before your appointment. 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.