First, you should call the Member Services number on your insurance card to ask if I am a provider for your plan and how much of the session is covered.
Once you provide your insurance information to Dr. Hughes, she will take care of billing for all attended sessions.
You are responsible, however, for keeping track of how many sessions you have attended and how many are covered by your insurance plan. You are also responsible for any missed appointments or appointments cancelled with less than 24 hours notice. These can not be billed to insurance.
Please note that if you plan to use insurance for payment that you are responsible for understanding how your insurance plan works and for obtaining any referrals or authorizations needed prior to our first meeting.
Questions to ask your Insurance Provider
I am an in-network provider for Blue Cross Blue Shield, Tufts, and the United Behavioral Health plans (including Harvard Pilgrim). If you plan to use insurance as payment, you should contact your insurance company and ask the following questions:
- What is the co-payment amount for which I am responsible at each session?
- Do I have a yearly session limit and, if so, what is that limit?
- Do I need to obtain a referral or a pre-authorization to use my mental health benefits? If so, can you tell me the steps I need to take to obtain such authorization?
If I am not a provider for your insurance plan, you may have out-of-network benefits that would cover all or a percentage of my fee. If you’d like to find out whether your insurance company will reimburse you for the cost of counseling/therapy, you should contact your insurance company. Some of the questions you might ask include:
- Do I have out of network benefits to see a licensed psychologist?
- If so, what percentage of the session fee do you cover?
- What is the deductible, and how much of the deductible have I met?
- How many sessions are covered, and in what time period?
- How do I access the form(s) needed to submit a request for reimbursement?