I have decided, based on thoughtful reflection and careful consideration that I will not participate as an in-network provider for any insurance companies or managed care companies. Therefore, I am considered an out-of-network provider for most insurance companies.
This decision supports my commitment to the counseling process, especially as it relates to the confidentiality of your treatment. The managed care / insurance company is entitled to all records related to your treatment and may request them as part of their audit process. All insurance companies require some information about the reason and justification for counseling in order to process your claim. In addition, managed care / insurance companies often require detailed information regarding the problem for which you are seeking help and the information may include your personal history, symptoms, family life, work life, and other personal information. The information is entered into increasingly large information systems. I can assure the privacy and confidentiality of your records within my office. Once that information is provided to the insurer, I can no longer assure that your records will be kept private and confidential and that information about you will be provided to others on a “need-to-know” basis.
If you decide that you would like to access your insurance coverage for counseling services, I encourage you to call the member services number on your insurance card and ask the following questions:
- Are mental health services reimbursed if they are provided by an out-of-network provider?
- What is your deductible when you receive services from an out-of-network provider?
- Once that deductible is met, what percentage of the cost of each session will be reimbursed?
- How many visits are allowed per calendar year?
I provide each client with a monthly statement which you can submit to your insurance company. If you are permitted by your plan to work with an out-of-network provider, you will receive reimbursement according to your plan’s provisions.
I appreciate that you may have questions and concerns about this policy and how it might affect you, your progress in counseling, and our relationship. Please feel free to discuss your concerns with me. As always, my goal is to support you in your journey towards healing and well-being.