This refers to a health care provider who is not credentialed with your health insurance plan. Because we do not have a contract with your insurance company, if you choose to use out-of-network benefits, you would pay the full standard cost of service at the time of the session. Most of our clients are able to receive a percentage of reimbursement for a portion of our fees. To check your out of network benefits with your insurance provider, here are a few simple steps:
Review your out-of-network benefits. These are typically in the Summary of Benefits included in a member information packet or on your insurance company’s website.
Call your insurance company to verify.
Wellness Connection will provide a Superbill (receipt) which you can easily submit to your insurance company.
Receive reimbursement!
The insurance company may ask what the “CPT” code is for your sessions. The following are the codes we use most frequently:
Individual Therapy, 50 minutes, 90837 (In Person) or 90837-95 (Telehealth)
Couples/Family therapy, 50 minutes, 90847 (In Person) or 90847-95 (Telehealth)