Pink Flower

Using Insurance

I am an out-of-network provider for most insurance panels; Please call to inquire what insurance panels I work with. Many PPO plans may reimburse in full or in part for my services. Unfortunately, HMO, Medi-Cal, and Medicare insurances do not reimburse as they require that you see someone on their panel. To determine if your insurance coverage includes outpatient therapy sessions with an out-of-network provider, contact your insurance company directly by calling the customer service number found online or on the back of your insurance card.

Why use your PPO or OON? 

Here are some very important benefits:

  • You can obtain the services you need without receiving a label of a mental illness. 

  • You won’t have a limit on how many sessions you need, frequency of sessions, the length of your sessions, and treatment won’t be shortened as your counselor will have more freedom to help you at your pace. 

  • You don’t have to prove medical necessity for your insurance to approve services.

  • Insurances won’t have access to your records (i.e. notes, assessments, etc.). Insurance companies often conduct audits and request complete records of clients. 

  • Your bills/claims will not be submitted through a third party company (Electronic Medical Record - EMR) and your information won’t run the risk to be exposed to other agencies. 

  • Your personal information won’t be accessed by agencies conducting federal background checks.. For example, if your child in the future needs a federal background check for purposes such as joining the military, becoming a pilot, employment, or for a number of other reasons, their personal information won’t be accessed because it was not disclosed to an insurance company or an EMR.

Questions to ask when calling your insurance company: 
  • Does my health insurance plan include mental health benefits?

  • Do I have a deductible? If so, what is the amount $_______ 

  • have I met my deductible?

  • Do I have an out of pocket maximum?

  • Does my plan limit how many sessions per the calendar year I can have? If so, what is the limit (e.g. 12 sessions)?

  • Do I need written approval for services to be covered (i.e. pre-authorization)?

  • What is the reimbursement rate for an out of network provider for mental health (if necessary, give them the CPT code 90837) e.g. 50% or 60% or 70 %).

  • Is there a maximum of this reimbursement rate?

  •  Does my plan cover teletherapy (online therapy) services?

Have some questions first?
You can always send us a message anytime

6303 Owensmouth Ave. 10th floor

Woodland Hills, CA 91367

florecertherapy@gmail.com

(805) 947-0984

  • Twitter
  • Facebook

© 2021 by Florecer Family Counseling | Privacy Policy | Terms and Conditions

Disclosure:

If there is an IMMEDIATE CRISIS such as a child or adult currently being abused, suicidal, has homicidal thoughts or actions, or any other mental health emergency, CALL 911.

The material included on this site is intended for informational purposes only and in no way is meant to substitute for individualized mental health therapy provided in person by a professional. The primary goal is to assist children, adults, families, and or couples in determining whether the services provided by Florecer Therapy, Family, Marriage, and Child, Inc. would meet their needs. Florecer Therapy, Family, Marriage, and Child, Inc. does not provide the information on these pages to substitute for individualized therapies. No claim to cure, treat, diagnose, or otherwise provide mental or behavioral health care is guaranteed, promised, or implied by this site.

The persons shown in photographs on this website are stock photography models and are not actual patients of, nor are they affiliated with services provided by Florecer Therapy, Family, Marriage, and Child, Inc. The photographs showing the models are used on this website for illustrative purposes only. The context in which the photographs are used on this website is not intended to reflect personally on any of the models shown in the photographs. Florecer Therapy, Family, Marriage, and Child, Inc. assumes no liability for any consequence relating directly or indirectly to the use of the photographs showing the models on this website.