What to Ask Your Insurance Company
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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?":
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
