Insurance & Payment Information Julie provides counseling throught the following insurance companies: TRIAD Employee Assistance Program, Mines & Associates Employee Assistance Program & Pinnacol Workman's Compensation Insurance. Julie is an out-of-network provider for other health insurance companies. If you are looking for an in-network counselor, please call your insurance company or look online to find who is an in-network provider in your area.
Your insurance plan may have out-of-network (OON) coverage. If it does, you may be able to see Julie and have part of the session cost reimbursed to you! You pay us directly and we provide you with a monthly statement of services (called a superbill). Then, you submit (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. (The Better app is awesome for this!) Your insurance company will process the superbill and will: apply the amount you’ve paid to chip away at your deductible; or reimburse you a percentage if you’ve already met the deductible. Just to be clear, Julie A Martin PLLC makes no guarantees that you’ll receive reimbursement (or how much reimbursement) from your insurance company.
What if I don’t know if my insurance plan has out-of-network coverage?You have one of 2 options. #1 Download the Better app and set it up. Then, go the FAQs+Contact section, scroll all the way down, and send them a note saying that you’re interested in working with an out-of-network (OON) provider in Carbondale, CO and need help verifying whether your insurance plan will reimburse you for this OON service. Better will find out and help you understand your OON coverage. #2 You can DIY. 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?
I look forward to talking with you!
Monday- Friday out of the office on Tuesdays
tel 970.948.2267 fax 970.704.6233
Email, Mailing Address and Physical address
use contact form on this page Mailing address: PO Box 964, Carbondale CO 81623 Physical Address: 600 Highway 133, Suite 22