We offer both “in network” and “out of network” services at Vancouver EMDR Therapy. This means that we are “in network” providers for the following insurance company: First Choice Health. We are “out of network” with all other insurance companies. If we are not “in network” with your insurance company then fees for your service will be due at the time of session.
We can provide you with a Superbill that you can directly submit to your insurance company for “out of network” reimbursement. We cannot guarantee what your reimbursement will be for “out of network” benefits but typically clients are reimbursed 60-80% of the session fee minus any copay, coinsurance or deductible that must be met.
We want the process of being reimbursed to be easy for you so we have listed some steps to take below to work with your insurance company.
Please have the following information ready before making a call to your insurance company:
- Provider’s name: Here are the names of our mental health providers: Lemecia Lindsey, LICSW
- Health insurance card: Have your health insurance card handy so you have the insurance company’s phone number, your Member ID number, and any other plan details you may be asked for.
- Full name and date of birth of the subscriber: If you are on your parents’ or spouse’s health insurance plan, you may want to have their name and DOB prepared and ready to provide.
- CPT Codes: CPT stands for “Current Procedural Terminology” and refers to the type of treatment you are receiving. Here are frequent codes that we use with clients: 90791 for the initial therapy appointment, 90837 for ongoing sessions. If you are receiving family or couples therapy we may use the code 90847. The neurofeedback code that we use is 90901 (Biofeedback training by any modality).
- Call the phone number for your health insurance company’s Member Services. You may find this on the front or back of your insurance card.
- Follow prompts to “Check Eligibility and Benefits” so that you get connected with the right representative.
Questions to Ask Your Health Insurance Company:
When calling your health insurance company, it’s important to find out a few things, such as your deductible amount and the logistics for submitting claims for reimbursement. The questions below will help you gather this information.
Ask your health insurance company the following questions to understand how much of sessions they will reimburse:
- What is my out-of-network deductible for outpatient mental health visits?
- How much of my deductible has been met this year?
- How do I submit claims for out-of-network reimbursement?
- Can I be reimbursed for services from an Associate therapist (pre-licensed)?
What Happens After Your Therapy Session:
- Submit a claim to receive out-of-network reimbursement.
- At each therapy session, you will pay the therapist’s full fee. Your therapist will generate a Superbill for you after each session and you will receive that through Simple Practice (our confidential Electronic Health Record program). A Superbill is like a receipt or invoice for your session that also indicates the diagnostic code. You will submit this claim to your insurance company for reimbursement. Most insurance companies offer an online portal or email option to submit your claims.
Please don’t hesitate to reach out to us if we can answer any questions!