FAQs

What are out of network benefits?

If you don’t have Blue Cross Blue Shield PPO or Medicare, your insurance plan may have out of network benefits. In most instances this means that your plan may reimburse you directly for a percentage of the fee you paid your provider.

How do I find out about my out of network benefits?

The first step would be for you to call your insurance company and ask them for out of network benefits for outpatient psychotherapy and/or neuropsychological evaluation. Sometimes clients will engage in services first and then submit a receipt (called a superbill) to their insurance company. In that way, they can find out if it is reimbursable and the amount.

What do I need to do to submit for out of network benefits?

You just need to request a superbill from your provider and follow your insurance company’s instructions to submit the paperwork.

Why can’t you take Medicare Advantages plans if you take Medicare?

When you have a Medicare Advantage plan, it means that you have assigned your Medicare benefits to a private insurance company. Therefore, we would have to be in network with that particular insurance company for your services to be covered. Unless it is Blue Cross Blue Shield, we are considered out of network for any other Medicare advantage plan. Please see questions about how to submit for out of network benefits.