Commercial BlueCross BlueShield (BCBS) plans for services that insurance companies deem medically necessary are accepted. If we are not a provider on your plan, and you have a plan with out-of-network benefits (typically a PPO), we are able to provide you with a receipt of payment which you can then submit to your insurance company. If you have questions about this, and our role in the process, please let me know. Finally, some people choose to not use their insurance and pay privately.
Questions you may ask your insurance provider
For in-network or out of network:
We will help you to verify your benefits before your first appointment. However, you may wish to call your insurance provider to find out what your Behavioral Health insurance plan will cover with regard to neuropsychological testing or therapy. Questions you may wish to ask are listed below.
Ask if our practice shows up as an in-network provider
Ask if you need a prior authorization to be seen
Ask what your neuropsychological testing and behavioral health co-payment is (they are not the same thing), and if you must meet your deductible before your Behavioral Health benefits take effect (if so, you may be responsible for more than your copayment until your deductible is met)
Ask if further authorizations are needed after treatment has started
For out-of-network (OON)
What is your deductible for OON Behavioral Health services
How much of provider fee do they cover after deductible is met
Is the % they cover based on provider fee or an allowable amount they predetermine