Insurance

 

Insurance

Depending on your current health insurance benefits, it is possible for services to be covered in full or in part.  Please contact your insurance provider to verify how your plan compensates you for outpatient mental health services.  As a courtesy, we may verify provider in-network status and obtain your outpatient mental health benefits to pass this information along to you.  The information provided as a courtesy is not a guarantee for services covered.  We suggest contacting your insurance carrier directly as we are a go-between.  If I am an in-network provider for your specific insurance, this does not guarantee coverage of services provided, as your specific insurance plan may have restrictions to what is covered.

Out of Network

Contact your insurance provider to find out what your “out of network” insurance benefits are for outpatient mental health if this provider is not in-network with your specific insurance to determine benefits and reimbursement rates.  My office will provide a statement called a “superbill” that you may submit to your insurance company for reimbursement, depending on your specific insurance benefits.

Couples and Insurance

Some insurance companies cover couples therapy and some do not.  Contact your insurance provider to find out if your insurance provider covers couple’s or marital therapy or if this is an exclusion with your insurance benefits.  Couple’s/marital therapy is addressing the “relationship” as the client.  Limitations working with couples using insurance are the provider is limited to 50-60 minute sessions, which may not be adequate time to address relational concerns.  80-90 minute sessions are suggested for couples work to provide more thorough services.

Questions to your insurance provider to help determine your benefits:

  • Does my health insurance plan include outpatient mental health benefits?
  • Do I have a deductible? If so, what is it and have I met it yet?
  • Do I have a copay or coinsurance amount due each session?  If so, what is it?
  • Do I have an out of pocket max?  If so, what is it and have I met it yet?
  • Does my plan limit how many sessions per calendar year I can have? If so, what is the limit?
  • Do I need written approval from my primary care physician or prior authorization in order for services to be covered?
  • Is Rinker Therapy and Wellness PLLC an in-network provider with my specific insurance?
  • What are my “out of network” provider insurance benefits for outpatient mental health? If Rinker Therapy and Wellness PLLC is not an in-network provider for your specific insurance.
  • Does my health insurance benefit plan cover couples/marital therapy to address our relationship health?



Edgewood Counseling and Wellness Center
10005 24th St. E.
Edgewood, WA 98371

rinkertherapyandwellness@gmail.com
(253) 350-8763

Got Questions?
Send a Message!