Certified EMDR Therapist in Holliston easily accessible from Metro West Boston.
Licensed in MA, FL, VT
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Insurance reimbursement
Operating on a private pay model, I am able to prioritize the individual needs of each client, maintain confidentiality, and provide personalized and comprehensive care without the constraints or limitations often associated with insurance billing. This allows for a more flexible and client-centered approach to therapy, ensuring that the focus remains on your well-being and the therapeutic process.
Private pay is an investment in wellness that also allows for greater autonomy and control over the therapeutic journey, as it eliminates the need for insurance companies to dictate the duration or type of treatment provided. This ensures that therapy is tailored to your specific needs, goals, and preferences, promoting a more collaborative and effective therapeutic experience.
Insurance companies are legally able to access treatment documents, progress notes, and diagnostic information at any time- which may compromise your confidentiality.
If your health insurance plan includes Out-of-Network (OON) benefits, you may be eligible for partial or significant reimbursement for therapy sessions. Upon request, I provide a monthly itemized receipt called a Superbill for you to submit to your insurance provider.
Questions to ask your insurance carrier:
- Do I have out-of-network behavioral health / mental health coverage?
- What is my out-of-network deductible and has it been met?
- What percentage of the session cost is reimbursed for CPT code 90837 (55-minute session)?
Most PPO plans cover 50%-100% of our services after you meet your deductible. I encourage you to explore this option, as many people successfully receive reimbursement for their sessions including medicare.
Understanding Out-of-Network Benefits
If you're unsure whether your plan includes out-of-network benefits, here are a few steps to help you find out:
- Contact Your Insurance Provider: Reach out to the customer service number on the back of your insurance card and ask if your plan covers out-of-network services.
- Review Your Policy Documents: Look for specific sections regarding out-of-network benefits and reimbursement.
Submitting Claims for Reimbursement
Once you've confirmed your benefits, submitting a claim is straightforward. You can either:
- Download a Superbill: Access your superbill from our client portal, which provides the necessary information for your insurance claim.