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ACADEMY
Navigating InsuranceMental Health Coverage Guide
05 / 08
Section5. Questions to Ask Scripts

Communication Scripts

Questions to Ask Before Booking

Use these exact scripts when contacting Member Services or provider billing offices.

Call Insurance Member Services

Number on back of card under "Mental/Behavioral Health"

  1. 01

    "Does my plan cover outpatient mental health office visits?"

  2. 02

    "What is my copay or coinsurance for standard talk therapy (CPT code 90837)?"

  3. 03

    "Do I have an individual deductible to meet first, and how much balance remains?"

  4. 04

    "Is behavioral health managed by a separate third-party carve-out vendor?"

Call Provider / Therapist Office

Ask intake or billing coordinator directly

  1. 01

    "Do you currently accept [Specific Plan Name] and are you active in-network?"

  2. 02

    "How much does one 60-minute therapy session cost out-of-pocket if not covered?"

  3. 03

    "If you are out-of-network, do you provide monthly Superbills with diagnosis codes?"

  4. 04

    "Do you offer sliding-scale income-adjusted self-pay rates?"