Mental Health Insurance
Mental health plans in Portland vary greatly from provider to provider. The information below will guide you through the process of getting your behavioral health services covered by your insurance provider. Remember, you can always provide me with your insurance information, and I will gladly call your insurance provider to find out if therapy is covered under your plan and what type of benefits you have. I will work with you to develop a treatment plan that will take into consideration the number of visits your health insurance plan allows.
Out of Network provider
I am not currently on an insurance panel or a preferred provider with an insurance company. Your insurance company sees me as an "out of network" provider. My professional title is "licensed professional counselor". Most major insurance companies work with out of network providers in Portland. Your insurance company pays for part of the session, and you cover the rest. I am not able to say how much your insurance plan will cover or if you are required to pay a deductible because all mental health benefits vary greatly. You may call your insurance
provider to find out what type of coverage is available for an out of network licensed professional counselor, or I can call on your behalf.
How many visits are covered in your mental health plan?
The amount of visits that are covered differ with each plan and depend on whether you have group insurance from an employer in Portland or individual insurance that you have purchased on your own. As a licensed professional counselor I provide outpatient care, and it is typical that you would be covered for twenty to thirty sessions a year. However, this could vary greatly depending on many different factors. I charge the insurance company my full fee of $100 that is non-negotiable. I am required to charge all insurance companies the same amount.
What problems are covered by your insurance plan?
This depends on your behavioral health plan. Many health insurance plans cover problems from mood and anxiety disorders to relationship troubles and social phobias. Insurance plans do not typically cover therapy when the presenting problem is not a medical necessity, such as process work.
What information will your insurance company have about your visits?
Everything you discuss with a therapist is kept confidential with certain legal exceptions. For example, if you pose a threat to yourself or others. In any case, the insurance company is made aware of the dates you come in for therapy and what your diagnosis is.
