When you call your insurance company, be sure to have these questions handy. These questions will help you understand exactly what your coverage will be. Please also note, that when using health insurance, you are required to receive a mental health diagnosis, which will be part of your medical record; we can certainly talk more about this and what it might mean for you during our consult.

• Do I have Out-of-Network insurance benefits for mental health?

• What is my deductible? How much has been met so far?

• How many sessions per year are covered?

• What dollar amount or percentage are reimbursed per therapy session for an Out-Of-Network provider? What is the max session fee that is reimbursable?

• Do I need approval from my primary care doctor?

• What forms do I need to file? How do I file these forms?

• Session code information:

  • Couples therapy is infrequently covered by health insurance, so make sure to ask your provider if this is a possibility.

  • In Person Codes:

    • 90791 (initial couples appointment)

    • 90834 (individual session)

    • 90846 (individual session of partner)

    • 90847 (couples appointments)

  • Telehealth Codes:

    • 90791-95 (initial couples appointment)

    • 90834-95 (individual session)

    • 90846-95 (individual session of partner)

    • 90847 (couples appointments)

  • Diagnostic Code:

    • Couples Counseling: Z63.0 (Problems in Relationship with Spouse or Partner)

    • Individual Counseling: Dependant on the presenting problem