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Questions
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Call the number on your card for mental or behavioral health. You’ll often go
through several menus, so make this call when you have 10 or 15 minutes. Write
down the answers to the following questions, as having documentation is the only
way to protest if the insurance company does something different than they tell
you they will.
Is this the correct number to call about my mental health benefits?
__________________________________________________
To whom am I speaking?
__________________________________________________
I am planning to go for outpatient mental health counseling with a psychologist.
Is this covered? __________________________________________________
What are my benefits if I see someone in network?
____________________________________________________________________________________________________
What are my benefits if I see someone out of network?
____________________________________________________________________________________________________
If you pay a percentage, is that a percentage of the psychologist’s fee or a
percentage of a fee you’ve determined?
__________________________________________________
If so, what is the fee for a 45 minute psychotherapy session (billing code
90806)?
__________________________________________________
Is there a limit to the number of sessions, or a dollar amount limit?
__________________________________________________
What is my deductible?
__________________________________________________
How much of my deductible have I met?
__________________________________________________
When does the deductible year begin?
__________________________________________________
Do I need to precertify my treatment?
__________________________________________________
Does the psychologist need to precertify my treatment?
__________________________________________________
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