We are here to help
Why we don’t accept insurance
We believe our center should be a safe environment for you. We are dedicated to providing a confidential relationship with our patients so we can focus on their needs.
- It’s Not Confidential Insurance companies require us to use an electronic medical Records system if we take insurance. Last year alone, the Department of Health and Human Services recorded 24,000 HIPAA violations. It is a little-discussed fact that when you sign up for health insurance that covers psychotherapy, there typically is a phrase tucked away in your contract somewhere that allows your insurance company to “inspect” your therapist’s files. (Note: HIPAA does not address this problem. Mostly, HIPAA addresses the issue of what records can be electronically transmitted to and shared with other health professionals or healthcare institutions.) The bottom line: If your health insurance carrier wants to see your therapist’s notes about you, they usually can. In addition, there are certain situations when people do not want others to know they have had psychotherapy. When you give permission to access your medical records, and you used insurance to cover psychotherapy, the dates and length of your therapy, and very possibly your diagnosis, will be revealed. So, if you or your child eventually needs a federal background check, wants to be a pilot, or a variety of other reasons, a diagnosis can be disclosed through your insurance company. We want you to have the most confidential counseling possible.
- You Have to Be Diagnosed In order to have insurance cover counseling, we have to diagnose you. There has to be a diagnosis, so if you do not meet criteria for a diagnosis your claim will most likely be denied. We also can not just “give you” a diagnosis for insurance purposes, it is unethical and illegal. Also, similar to reason one, we don’t think you should have a mental health diagnosis on your permanent medical record. To us, everyone should have access to counseling. We can all use a little help. We want you to get help without having to have a diagnosis.
- They Decide Your Treatment Insurance companies decide treatment. They determine the number of sessions and the frequency. We believe this should be you and your therapist’s choice. Sometimes you need shorter sessions or longer ones. Maybe you need them 2x per week or once per month. When an insurance company is involved, they decide payment. Our patients enjoy the freedom to choose what is best along with their therapist. We want you to get the best quality of counseling treatment!
Even though we are not on any insurance panels, you may be able to use your Out Of Network (OON) benefits. We can provide you with a “super bill” that you can turn into your insurance company for possible reimbursement. It is your (the patient’s) responsibility to verify those benefits, submit and follow up with your insurance carrier. We bear no responsibility for non reimbursement, and all payments made to us must be rendered at time of service. Also, keep in mind the above factor will be active, including requiring a diagnosis and limits of confidentiality. The previous information is based on our policy and rule of law. We provide no counseling on using or not using your insurance benefits, it is your own choice and decision.