It's the details that are vital. Little things make big things happen.
-John Wooden
Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to provide a good faith estimate of expected charges for items and services to individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing, upon request or at the time of scheduling health care items and services.
I am an in-network Provider with:
Pacific Source
Samaritan Choice
Moda
**Please note that even as a provider with a particular insurance company, each plan is different. Please call your insurance company and give them my name and confirm I am a provider for your plan.
If I am not an in-network provider with your insurance plan then I am considered an "out-of-network" provider. It is worth checking with your insurance to see if outpatient mental health benefits with an out-of-network provider are covered. Depending upon your plan, it may be covered and if it is, they usually cover 50-70% of their allowable. When you call your insurance company to see what the benefits are, be sure to find out if you need to have your annual deductible covered first for your benefits to apply.
If your insurance company does pay for out-of-network providers, you will pay my fee upfront per session and I provide you what is called a "SuperBill", which is essentially a receipt with the CPT Codes and Diagnostic Codes the insurance company needs for reimbursement. You then submit the SuperBill along with the claim form to your insurance company for reimbursement to you.
Tracy Wikander, LMFT, Therapist
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