Out of Network Guide

  • Set aside time for a 15-20 minute call, or browse your provider’s website
  • Have your insurance card and ID ready
  • Ask if you have out-of-network benefits, then more specifically:
    • Does that include mental/behavioral health out-of-network?
    • Is prior authorization required?
    • Is a referral required from my primary care physician?
    • Do I have an out-of-network deductible?
      • If no, skip to next question
      • If yes, ask:
        • What is my out-of-network deductible?
        • How much of my out-of-network deductible has been met?
        • What is the start date of the calendar year my out-of-network policy is based on?
    • Does my policy cover a diagnostic interview (CPT code 90791) and individual therapy for up to 50 minutes (CPT code 90834)?
  • What percentage of the session fee (e.g. $150) do they cover and how much will you be reimbursed?
  • What is the claim submission process like? What paperwork will you need?

Phone

267.858.0834

Email

peterzook@gmail.com

Address

1315 Spruce Street
Philadelphia, PA 19107

Let’s Talk

Finding the right therapist can be hard. Call, text or email to learn more and see if we’re a good fit.