To find out if our agency is in network with your specific plan, call the number on the back of your insurance card and say the following to them, “Hello, I’m calling to find out about coverage for mental health services and confirm that Emerald Therapy, LLC is within network. Emerald Therapy, LLC's NPI number is 1407552565 and the CPT codes used are 90791 and 90837. Can you please let me know if they are in network, and if I have any deductible, copay, or co-insurance costs?”
For the insurances not listed above, Emerald Therapy is out of network. You may request a receipt after your session payment for potential reimbursement from your insurance company. We highly encourage checking with your insurance company regarding out of network benefits prior to scheduling our first appointment together.
Benefits of not using insurance:
No documented diagnosis is required for treatment
No referral needed
You could save money when you have a high deductible plan
No sharing of your personal information with third party payers
You and the therapist get to decide length and frequency of treatment, not your insurance
Another avenue to try:
You may also have out of network benefits that allow you to pay for a session, receive a "superbill" from us, and be reimbursed by your insurance company. This is your responsibility to look into by calling the back of your insurance card and asking the following questions:
- Do I have out-of-network benefits for outpatient mental health?
- Is there a deductible that must be met first? How much is the deductible?
- What is the coverage amount for individual therapy?
- How many therapy sessions does my plan cover?
Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
You can ask your health care provider for a Good Faith Estimate before you schedule an item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 800-985-3059.