Confidentiality: Managed care plans often require detailed information about you and the problem you need help with.That information is not protected. Control of Treatment: Your insurance company—not you or I—will decide if treatment is “medically necessary” and how much of it you may receive.; Psychiatric Diagnosis: Insurance requires a psychiatric diagnosis that becomes part of your record. As a licensed Mental Health Counselor, my services qualify for patient reimbursement under most plans. My fees are generally considered within the “usual and customary” range (UCR), but please check with the company in advance. If you wish to submit for reimbursement, I will provide you with an invoice for services provided.