PAYMENT FOR THERAPY
Many insurance plans offer substantial reimbursement for therapy, and as licensed mental health providers, our services may be covered in full or in part by your health insurance or employee benefit plan. Therapists providing services at Potomac Therapy Group do so as out-of-network providers.
Potomac Therapy Group is committed to helping you use your insurance to help offset the cost of therapy. Please let us know if you would like us to check your out-of-network benefits for you; we would be happy to do so as a courtesy to our clients. We are also glad to cooperate with your insurance company by providing required information about our practice to help streamline and expedite your out-of-network reimbursement process.
If you would prefer to check your own benefits, we strongly advise you to check your coverage carefully to be certain of your terms and reimbursement rates. Please contact your insurance company to ask the following questions:
What are my out-of-network mental health insurance benefits?
What is my out-of-network deductible and has it been met?
How many sessions per year does my out-of-network insurance cover?
What is the out-of-network coverage amount per therapy session? Applicable therapy procedure codes include: 90791 (intake session), 90834 (individual therapy session), 90847 (couples or family therapy session).
Is preauthorization required from my insurance company or primary care physician?
Within what time period must claims be submitted to my insurance company?
Does my insurance policy re-start every January, or does my policy re-start annually in a different month? When does my annual deductible(s) renew?
Please contact us for session rates. We will collect full session fees from you at the time of service and provide you with coded receipts called Superbills. Superbills are invoice PDFs documenting your payments which you may submit directly to your insurance company for reimbursement. Superbills include all codes and information insurance companies need to determine reimbursement. In most cases, you will be able to submit your Superbill PDFs directly to your insurance company for reimbursement via your insurance company's online patient portal.
If you have a Flexible Spending Account (FSA) or Health Savings Account (HSA), you may pay for your sessions with your FSA or HSA card or get reimbursed from your account with the Superbills we provide.
Therapists providing services at Potomac Therapy Group do not participate with Medicare or Medicaid.
Click here for: No Surprises Act “Good Faith Estimate” information.