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CHECKING YOUR INSURANCE
FOR OUT-OF-NETWORK BENEFITS

** Call the customer service number on the back of your insurance card.

** If you do not already know the answer to the following questions, it would be beneficial to ask:​

1. Does my policy cover outpatient mental health benefits (psychologist, psychiatrist, master's level clinician)?​

        a. If yes, are Telehealth services covered?

        b. Ask if they will reimburse the following CPT codes: 90791, 90837, 90834, 90832

        c. For psychological testing: 90791, 96130, 96131, 96136, 96137

2. Do I have an Out-of-Network deductible?

        a. If yes, how much is my deductible?

        b. How much of my deductible has already been met?

3. Do I need a prior authorization or referral from a primary care provider?

4. What percentage of the Out-of-Network cost will be reimbursed back to me?

5. How do I submit a reimbursement claim

6. How long do I have to submit a claim from the date of service?

 

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