Questions to Ask Your Insurance Company

  1. Do I have out-of-network (OON) benefits? If so, what are they?

  2. If I have a deductible, what is it and where am I currently at?

  3. Do you cover telehealth (GT or 95 codes). If so, for how long and are there any restrictions?

  4. What is the standard reimbursement rate for the follow CPT codes:

    • 90791- Psychodiagnostic Evaluation/Intake

    • 90834- Individual Psychotherapy (45 minutes)

      Additional codes that might be used at times:

    • 90832- Individual Psychotherapy (30 minutes)

    • 90837- Individual Psychotherapy (60 minutes)

    • 90846- Family Psychotherapy without the Patient Present

    • 90847- Family Psychotherapy with the Patient Present