Considerations in using insurance for mental health
Insurance companies require in-network providers to sign contracts that determine rates, number of sessions, and their right to determine or influence treatment planning. They routinely require the submission of session notes, diagnosis, supporting documentation, and treatment plans. Some policies will not cover marital or family/relational treatment. In-Network providers and their clients work with many restrictions.
When you pay out of pocket (or work with an out-of-network provider) you work in conjunction with your therapist to determine the course of counseling, the content, frequency and intensity. Details of your mental health information has a greater degree of privacy. In fact, if you pay entirely out-of-pocket, your information never leaves our office (except on rare occasions when required by law).
Reasons to pay out of pocket
By paying out-of-pocket you assure yourself and your family of the greatest degree of privacy. It gives you the maximum amount of flexibility, and your mental health information remains ‘off-the-grid’ so to speak. Your records remain free from insurance reporting or compliance audits. Additionally you have a wider range of providers, and are able to choose someone who has the experience you hope for, and can provide you with the quality of counseling you seek.
Billing Out-of-Network
If you determine that you do have out-of-network benefits that include Registered Associate counselors, and you desire to use those benefits, there are two possible options: Stephanie Alley can provide simple documentation (a super-bill) which you can submit to your insurance company yourself, for direct reimbursement. Most insurance does not cover Registered Associate counselors.
To determine what benefits you might have, check your policy, or call your provider and seek answers to the following questions:
Do I have mental health benefits?
Is there a deductible, and has it been met yet?
What provider qualifications are required?
Does my policy cover for a Registered Associate counselor?
How many sessions per year does my policy cover?
How do I obtain reimbursement for a Registered Associate out-of-network provider?
Is approval required first?
You’ll need to decide what value to put on your therapy/counseling experience. We would encourage you to consider the following:
You are probably seeking help for something of great importance to you, i.e. your marriage, your kids, important relationship decisions, or mental health issues you are struggling with. These factors include much personal information. As mentioned above, out-of-network providers are better able to protect your health information and keep it private.
Additionally, as is true of much in life, you will get the value that you are willing to pay for.
We encourage you to research and compare providers. Stephanie Alley brings almost three decades of professional experience, 10 years of teaching, and a background that includes experience in a broad range of settings. Make sure you are getting your best value for your investment.