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Health insurance can be confusing. When it comes to therapy, you might need to call you insurance company and find out what is covered. Make sure you get the answers you need by following this example: (Download this Worksheet)
"My name is ____. I'm interested in going to Brave Choices, Inc. for help with my mental health and I am calling to verify my benefits. First, I would like some general information." Policy Effective Date: _______ Office Visit Co Pay: ____ Deductible: ____ Out of Pocket Max: ____ Do my deductibles, co-pays and co-insurance apply toward my out of pocket max? ____ How much of my deductible have I spent this year? ____ Do I need a referral to see a mental health/behavioral health therapist? ____ If yes, who needs to refer me? ____ Is Brave Choices, Inc. and/or my provider is in-network? ____ If not, how does my insurance work if Brave Choices, Inc. and/or my provider is out of network? ____ Individual Therapy The clinic usually uses CPT codes 90834 and 90837 for these services. What's my co-pay/co-insurance? ____ Is there a limit on the number of sessions per year? ____ If so, how many individual therapy sessions per year? ____ Is authorization required for individual therapy? ____ Lastly, ask for the representative's name: ____ |
AuthorHeather Holt, Archives
June 2020
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