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FAQ > Fees & Payments > What about insurance?

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My services may be reimbursable by most "traditional" indemnity-type plans (such as "fee-for-service" and "point-of-service" plans), but I have chosen not to be a member any HMO or PPO provider panels. 

If you have a PPO or HMO plan and wish to bill your insurance, it is best to check with your insurance company as soon as possible to see if they have an "out-of-network" benefit for mental health.  A diagnosis will be required on your receipt if you are submitting it for reimbursement.

PLEASE NOTE: I do not directly bill your insurance.  Rather, you pay me and use the receipt to submit to your insurance company for reimbursement.

QUESTIONS TO ASK YOUR INSURANCE CARRIER: If you are calling your insurance company to see if my services are reimbursable, they may ask you some or all of the following information.  The following will only provide an example, but will let you know the minimum amount your insurance plan will pay for my services.

TYPE OF CONTRACT:  No contract. Out-of-Network Provider (No PPO or HMO contract with insurance company).

TYPE OF PROVIDER: Licensed Psychologist (California License Number PSY15781)

TYPE OF DEGREE: Ph.D. in Counseling Psychology (APA-Accredited Program)

TYPE OF SERVICE: Individual Psychotherapy 45 minutes (CPT Code: 90834)
Conjoint (couple) /Family Psychotherapy (CPT Code: 90847)
Diagnostic Interview (Initial Consultation) (CPT Code: 90791) 

ADDRESS OF SERVICE PROVISION: 566 S. San Vicente Blvd., Los Angeles, CA 90048
(note: please do not come to this office without an appointment or send mail to this address)


DIAGNOSIS EXAMPLE: 309.9 Adjustment Disorder, Unspecified (minimum reimbursement amount)*

*Some diagnoses may be reimbursed at a higher rate

Also, I am not a Medicare or Medi-Cal provider.  If you are a Medicare recipient, I will ask you to sign a contract acknowledging that I have opted-out of Medicare and neither you nor I will seek reimbursement for my services from Medicare.

Last updated on February 8, 2013 by Gregory L. Cason, Ph.D.