Insurance
In-Network Coverage
In California, I am accepting new clients who have Contra Costa Health Plan and Health Plan of San Mateo.
I provide superbills for all other insurances.
Insurance coverage only applies to individual sessions. Couples and family therapy are private pay.
How does out-of-network insurance work for therapy?
I generate a superbill (or an itemized invoice) for out-of-network insurance reimbursement for free. The superbill contains all the necessary information for you to send to your insurance carrier in addition to your claim form. I send out the superbills to your email once a month, or more frequently per your request. The superbill must be submitted directly to your insurance provider in order for you to receive insurance payments for therapy sessions with me. Your superbill will include information such as my NPI number, dates and fee of services, and ICD-10 diagnosis code.
It’s important to be familiar with your insurance policy if you want reimbursements for therapy sessions. In order for your insurance to reimburse you for the superbills that I provide, you must have something called “Out of Network” (OON) benefits. You can check your OON benefits by contacting your insurance company or using the Mentaya calculator at the bottom of this webpage. If you don’t have OON benefits, you will be personally billed for the cost of insurance sessions. Additionally, keep in mind the following questions:
What is your deductible? (The amount you pay before your insurance starts to pay)
What is your cost-share? (The part of the charges that you pay, which is different from an in-network co-pay)
What is your our-of-pocket maximum? (The maximum amount of money that you pay for OON services)
Disclaimer: I cannot guarantee reimbursement for any superbills.