UNDERSTANDING HEALTH PLANS & INSURANCE BENEFITS
Some insurance plans provide benefits to receive mental health services.
In order to be eligible for insurance reimbursement, the patient must be assessed with a mental health diagnosis -- something that only a state licensed therapist in the state the patient resides can provide after an initial diagnostic assessment. All medical diagnoses, including those in the mental health categories, become part of a patient's medical record. If one does not meet the criteria for a diagnostic assessment, they are not eligible for insurance reimbursement.
For some of these reasons, many who do not qualify for a diagnosis or who are not interested in a mental health assessment opt to pay for services "out-of-pocket" or choose services like wellness coaching or short-term consultations.
If you choose to see one of the therapists at Symmetry Solutions, who happens to be licensed to practice in the state that you reside and is "in network" with your insurance company, we will submit an invoice for insurance reimbursement on our end. If the therapist is "out of network" we are willing to offer a "super bill."
The therapist may be an "in-network" or an "out-of network" provider for your particular insurance plan. You can call your insurance plan to ask if a therapist you are interested in seeing would be eligible for reimbursement.
Even if your therapist is in-network, you may still need to meet a deductible or pay a co-payment depending on your particular plan. Patients are responsible for co-payments or services not covered by their insurance plan(s).
Symmetry Solutions does accept payments from Health Savings Accounts (HSA).
If you have any questions or concerns about billing, insurance benefits, or what plans Symmetry Solution providers work with, please call one of our administrative assistants at 1-208-391-7804.