Questions For Your Insurance Company About OON Benefits


  • Do I have out-of-network benefits for mental health or behavioral health treatment?

  • How much do I pay in co-insurance?

    • This will help you determine how much of the session rate you are responsible for. Your insurance company will reimburse you for the rest.

  • Do I have an out-of-network deductible to meet before I am eligible for reimbursement? If so, how much of that deductible has been met?

  • What is the usual and customary rate covered for outpatient psychotherapy?

    • The CPT codes I use are 90791 for the intake and 90837 for individual therapy.