Call Insurance Member Services
Number on back of card under "Mental/Behavioral Health"
- 01
"Does my plan cover outpatient mental health office visits?"
- 02
"What is my copay or coinsurance for standard talk therapy (CPT code 90837)?"
- 03
"Do I have an individual deductible to meet first, and how much balance remains?"
- 04
"Is behavioral health managed by a separate third-party carve-out vendor?"
Call Provider / Therapist Office
Ask intake or billing coordinator directly
- 01
"Do you currently accept [Specific Plan Name] and are you active in-network?"
- 02
"How much does one 60-minute therapy session cost out-of-pocket if not covered?"
- 03
"If you are out-of-network, do you provide monthly Superbills with diagnosis codes?"
- 04
"Do you offer sliding-scale income-adjusted self-pay rates?"
ACADEMY