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What to Ask Your Insurance Company

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what_to_ask_your_insurance_company.pdf
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​Health Insurance can be confusing. Follow this guide when calling your insurance company to ask about therapy coverage. Have a paper and pen ready. To print out this page from your computer, press CTRL and P at the same time. Or click on the form link and print that page.
Today's Date:

Insurance Representative's name:

"My name is ______________________. I'm interested in seeing Amanda Ellis for counseling/psychotherapy and I'm calling to verify my benefits. First I would like some general information."

You can ask the following questions:

"What is my policy effective date":
"What is my Office Visit Co-Pay":
"What is my Deductible":
"What is my 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/behavioural health therapist?":
If yes: "Who needs to refer me?"
"Is Amanda Ellis and/or LHC Consulting (Clinic Director Leslie Hong) in network?":
If not: "How does my insurance work if Amanda Ellis and/or LHC Consulting is out of network?":

For Individual Therapy:
Amanda Ellis usually uses CPT code 90837 for individual sessions. You can ask the following questions:
​
"What is my co-pay/co-insurance?":
"Is there a limit on the number of sessions per year?":
If yes: "How many individual session can I attend per year?":
"Is authorization required for individual therapy?":

Amanda Ellis, MSW, LICSW
1884 Como Avenue
Saint Paul, MN, 55108​
651.217.8600
mandyellis.licsw@gmail.com
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  • Home
  • Services
  • About Me
  • Payment
    • Questions for Insurance Companies
  • Contact
  • Resources
    • Crisis Resources
    • Helpful Apps