Therapy Costs: OON and Reduced Fees

Handy Script for Calling Your Insurance to Verify Your Benefits

I am calling to verify my insurance benefits. My name is…member number, group id.

How much do you pay for services provided by an out- of-network provider of outpatient mental health counseling?

[*If they ask for a code for individual therapy tell them 90847 one hour]

What is my deductible? 

Has my deductible been met?

How many sessions per year does my plan cover?

Is a referral from my physician required?

Where do I find forms to fill out for insurance reimbursement?

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  • Washington: LW00005466