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Insurance Reimbursement |
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Jussi Light, M.A. Licensed Marriage &Family Therapist MFC#39617 |
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I do not participate in any insurance programs, nor do I bill insurance companies. However, if you have insurance coverage, you may be able to get reimbursed for therapy. In the eyes of your insurance plan, I am considered an “out-of-network provider” or a “non-participating provider.” To find out if your insurance will reimburse you for my services, contact your insurance provider directly and ask:
1. Does my plan reimburse me for out-of-network providers? 2. Does my plan cover mental health benefits? If so, are any mental health diagnoses excluded? (For example, some plans do not provide coverage for substance abuse, but they do cover depression). 3. What paperwork is needed to get reimbursed?
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Paperwork needed:
My bookkeeper will email you a monthly statement usually on the first Friday of the month. This statement will have all the relevant information about me and my service that your insurance will want, including a diagnosis. If your insurance restricts any diagnoses, notify me about this before seeking reimbursement.
Complete the paperwork your insurance company requires (usually a one-page form) and include any statements from me. Make certain that you fill out your insurance claim so that you are the one getting reimbursed. Otherwise, the company will issue a check payable to me, and I will need to send it back to them, delaying your reimbursement by weeks or months.
If you have any questions about this process feel free to contact me for additional help.
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