Therapist Pricing & Insurance

Extended Sessions, 90 minutes, can be arranged with the therapist.

We are out-of-network providers for all but a couple of insurance companies. Most people have out-of-network benefits so that you would be reimbursed by your insurance company. We recognize this can be so confusing, so we created a step-by-step guide for you. If the therapist you work with is in-network with your insurance, then we can verify your benefits for you. If the DBT Center isn’t in-network with your insurance plan, you may have out-of-network benefits that you can use. This means you would pay for the session at the time of the session and then you would submit a claim to your insurance company for reimbursement.

1. Check Your Insurance Plan’s Out-of-Network Benefits

Look for the customer service number on your insurance card and call your customer service representative. Ask to speak with someone about out-of-network mental health/behavioral health benefits.

What to ask:

• • Do I have out-of-network benefits for mental health services?
  • What percentage of the cost is covered for out-of-network services?
  • What is my deductible for out-of-network services, and how much has been met this year?
  • What is my out-of-pocket maximum?
  • Do I need pre-authorization or a referral to get reimbursed for out-of-network services?
  • Is there a time limit for submitting claims?

2. Understand the Deductible and Reimbursement Rate

Look for the customer service number on your insurance card and call your customer service representative. Ask to speak with someone about out-of-network mental health/behavioral health benefits.

Deductible: 

This is the amount you have to pay out of your pocket before the insurance starts covering the costs. If you haven’t met the deductible, you will pay the full amount until you reach that limit.

Reimbursement Rate:

​Once your deductible is met, the insurance will cover a percentage of the cost (e.g.,70%, 80%). You are responsible for the rest (e.g., 30%,20%).

3. Get the Superbill from our Office Manager

What it is:

A superbill is an itemized receipt that shows all the services you received, along with the codes and amounts charged.

From where:

Ask your therapist or the office manager for a copy of the superbill after each session or periodically (e.g., monthly).

4. Fill Out a Health Insurance Claim Form

Get the form:

Go to your insurance company’s website or call them to ask for an out-of-network claim form. Many companies have this form available online for download. Click here for a copy of the forms.

Complete the form:

Fill in your personal information (name, address, member ID, etc.). The superbill will have much of the information you need for the claim (dates of service, CPT codes, amounts, and provider information). Attach the superbill

6. Track Your Claim

Once submitted, keep an eye on the status of your claim. You can do this by:

• • • Logging into your insurance company’s online portal.
    • Calling the insurance company after a few weeks to ask about the status of the claim.

7. Receive Your Reimbursement

Once your claim is processed and approved, your insurance company will send you a reimbursement check or direct deposit (if you’ve set that up).

8. Repeat for Future Sessions

Mentalya (https://www.mentaya.com/patients) is a company that will bill for you if you prefer to do that.