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?






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.