FAQs

Using Your Out of Network Benefits

Many people think that if a practice is not "in-network" with their insurance, they are not able to seek services at that practice. The truth is, in most cases, you can work with an “out of network” therapist. Being “out of network” means that ICFT has chosen to conduct therapy without signing any contracts with health insurance companies. At ICFT, clients pay for their services in full at each session. Methods of accepted payment include cash, check, health savings account, and/or credit card.

Most health insurance plans have a way to seek “out-of-network” reimbursement and some clients choose to use this benefit. Once a diagnosis has been made and payment has been received, ICFT provides a receipt which clients may then choose to submit to their insurance provider for “out-of-network” reimbursement. The insurance company then sends the reimbursement for the “out-of-network” benefit directly to the client.

Although ICFT does not guarantee reimbursement from insurance providers, most clients report obtaining 60-100% coverage for “out-of-network” services. For example, one possible fee for services at ICFT is $200 per 50 minutes. If there is no deductible for “out of network” services and if the insurance company reimburses 80 percent of this fee, the final out of pocket expense is $40 per 50 minutes. While "out-of-network" benefits vary, many clients report that in the end, "out-of-network" coverage is comparable to "in-network" coverage.

If a client is interested in using their “out of network” benefits, it is recommended that they check with their insurance company about their coverage before starting services. Please see questions to ask your insurance company below.


Questions to Ask Your Insurance Company

The therapists at ICFT do understand that dealing with insurance plans can be challenging, especially when you are already worried about the mental health issues you or a loved one are experiencing. The following are some questions to research with your insurance company either on-line or by phone:

  • Are there dollar limits, visit limits, or other coverage limits for my out of network mental health benefits? What about with in-network treatment?
  • Is there a deductible I have to meet before any service is covered? If so, what is the deductible?
  • What percentage of an out of network provider's fee for therapy do you cover after the deductible is met?
  • Is there a form I need to complete to receive my "out of network" benefits? If so, where can I find the form?
  • How long will it take to get reimbursed for my out of pocket expenses?

 

Click here if you've contacted you insurance provider and the cost of treatment at ICFT is still a concern for you.

 

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