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Blue Mountains
Blue Mountains

Billing Insurance & Couple Counseling

Can i bill my insurance for couple counseling?  My insurance company said i could!!

 

There are 3 ways to bill for counseling in general.  

1) out of pocket.  see sliding scale under "Rates & Insurance" elsewhere on this website.

2) contact your business's Employee Assistance Program (EAP), receive an authorization, and call me!  EAP's are not a medical insurance, but a benefit some larger companies offer.

3) The complications of billing a medical insurance for "couple's counseling."  medical insurance companies are set up under the medical model.  medical insurance companies require me to a) complete a full assessment, b) diagnose you with a mental condition such as anxiety or depression, and c) develop a treatment plan to treat this condition.  often couple's are not looking for full assessments with diagnostics.  they wish to work on communication and other couple related issues.  because of this complication, often couple's pay out of pocket.  another complication arises if a person says "yes, i want to bill my medical insurance."  After completing the assessment, we both agree that he/she does NOT have any significant mental health symptoms (anxiety or depression).  I then can NOT bill your insurance!

now having said all that...  many couple's still wish to bill their insurance, are willing to do the above, and we come to a working diagnosis and treatment plan.  they end up usually just having to pay a co-pay.  it is important to be sure that you are having symptoms before asking to bill a medical insurance.  if we are going to focus on the relationship and bill your insurance i prefer to first, all meet together.  later, maybe the next session, then we can do the assessment in full.

 

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