Out-Of-Network Family Therapy
At Your Gray Matters, the fee is $150 for individuals and $200 for couples for a typical 50 minute therapy session.
Do you accept insurance?
- The full session fee is due at the time of service.
- Gray Matters is an out of network provider, so insurance is not required.
- I will provide you with an invoice, commonly called a super-bill, which you can submit to your insurance company to seek reimbursement of fees already paid.
- Depending on your specific insurance plan, you may be reimbursed a percentage of the full session rate.
If you have insurance, here are some tips:
If you have insurance, check with your provider. Ask the following about your coverage for out of network providers regarding mental health benefits to see if you may be eligible for reimbursement:
- Does my plan provide mental health benefits?
- What diagnoses are included or excluded by the plan?
- Does the plan provide reimbursement for out of network providers? If so, how much?
What are the benefits of not using insurance?
- No need to verify the “medical necessity” for your therapy
- You do not need to be in a crisis or have a severe mental illness to receive therapy
- You do not have to meet the criteria of your insurance company mental health diagnosis
- Allows you and the therapist to determine your treatment plan, number of visits, type of therapy (such as family or couples)
- More flexibility in choosing the issues to focus on during therapy
- Increased confidentiality – your assessments, diagnoses, and treatment plans are not shared with the insurance company
- Maintain privacy and avoid compulsory diagnoses
- You are not bound by insurance criteria and pre-authorizations which can stop the therapeutic process
- No interruption to therapy if insurance plans are stopped and started due employee benefit changes
- No mandatory assessments, evaluations or periodic chart audits (often required by insurance companies)
- You, not your insurance provider, will dictate how and when you will be receiving services.
Does insurance cover couples, family, or pre-marital counseling?
Insurance companies do not reimburse for couples, pre-marital or family therapy.
However, it is important to note that couples will benefit from being seen individually, especially when one partner is not willing or ready to come in together for therapy. Furthermore, couples may have different goals and interests for the relationship and it is an opportunity to work on differentiating goals before beginning couples therapy.