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Privacy & Confidentiality

Deciding Whether to Use Insurance for Psychotherapy: A Critical Choice

 

We hold your confidentiality in the highest regard and maintain that your therapy should be a private matter, not subject to your insurance company's influence. Consequently, we do not engage with insurance plans or accept benefit assignments. This indicates that we are not "in-network" providers, and we do not receive direct payment from your insurance company. Privacy and confidentiality are the cornerstones of the therapeutic relationship. As psychologists who handle sensitive matters, we strictly adhere to our confidentiality pledge. 

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Considerations Before Using Insurance for Therapy Reimbursement

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  • Confidentiality: Insurance companies require information about the reason for psychological treatment to process your claim. This often includes detailed information regarding the problem you're seeking help for, your history, symptoms, and aspects of your family and work life to determine if treatment is medically necessary. This information becomes part of a large data system, where confidentiality cannot be guaranteed. In many ways, using your health insurance for therapy can compromise your privacy.

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  • Control of Treatment: Most insurance companies require a psychiatric diagnosis before they will pay for treatment. They use this diagnosis and your personal information to determine if treatment is medically necessary. The insurance company then decides what kind of therapy is approved and how long it should continue. Often, the employees making these decisions have limited training and may not fully understand your individual needs and goals.

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  • Psychiatric Diagnosis: To submit a claim for reimbursement, a psychiatric diagnosis must be provided. We will discuss your diagnosis with you, so you can decide if you are comfortable submitting this information to your insurance plan.

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Submitting for Out-of-Network Reimbursement 
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If you choose to submit for out-of-network reimbursement, we can provide a superbill for your insurance claims. It is your responsibility to verify your benefits. The typical CPT codes used include 90834, 90837, and 90791.

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