Payment/Fees:
- $170/hour
Insurance companies we partner with:
- Workers compensation (through Pinnacol, etc. - you would get a referral from your physician)
- HelloAlma.com: (Note: not all plans are covered)
- Aetna
- United Healthcare (RMHP is out of network with UHC).
- Cigna
Options for you if my services are not included in your plan:
- Contact your insurance company or look online to find who is an in-network provider in your area
- Check out: www.psychologytoday.com for referrals as well
How insurance reimbursement works for out of network providers:
- You pay Julie directly and she provide you with a monthly statement of services (called a superbill).
- You then submit it (via e-mail, fax, or snail mail) it to your insurance company if you decide to seek reimbursement through your insurance company’s out-of-network coverage.
- Your insurance company will process the superbill and will apply the amount you’ve paid to chip away at your deductible
- Or, they will reimburse you a percentage if you’ve already met the deductible.
How to check insurance coverage:
- Call the customer service phone number on the back of your insurance card so you can ask questions about your coverage and make an informed decision before getting started with counseling.
- Here are some helpful questions to ask the representative:
- Do I have out-of-network mental health, or behavioral health, benefits?
- What is my out-of-network deductible? Does that include medical? Have I met it?
- Are out-of-network services by a licensed professional counselor covered?
- What is my co-insurance for out-of-network care?
- Is any pre-approval required under any circumstances before obtaining out-of-network mental health services to be reimbursed?
- For psychotherapy, ask: Do you cover procedural codes 90834 and/or 90837?
- For psychotherapy, ask: What is the maximum allowed amount for procedural codes 90834 and/or 90837? ***FYI Sometimes the representative will say they can’t tell you. This is illegal. You have a right to this information and they must tell you. If they still won’t tell you, then ask them to begin recording the call and request to speak with a supervisor.***
- If I have out-of-network benefits, will I be reimbursed the full amount I paid or a percentage? What percentage?
PLEASE note: Julie A Martin PLLC makes no guarantees that you'll receive reimbursement, or the amount if you do, from your insurance company. YOU are responsible for all fees the insurance company does not cover.
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