Prioritizing Your Well-being: Transparent Fees and Out-of-Network Reimbursement Support
We intentionally operate as a private-pay practice so we can provide comprehensive DBT without the restrictions often imposed by insurance companies. This allows us to offer individualized treatment, between-session phone coaching, specialized DBT skills groups, and care tailored to your needs.
Many clients are able to use out-of-network benefits to receive partial reimbursement. We provide superbills, reimbursement support, and access to our reimbursement calculator to help simplify the process.
✓ No session limits imposed by insurance
✓ Between-session phone coaching included
✓ Treatment decisions guided by clinical needs
✓ Greater privacy and confidentiality
✓ Flexibility to adjust treatment frequency when clinically appropriate
Many clients receive partial reimbursement for therapy through out-of-network benefits.
Note: Actual reimbursement amounts may vary by insurance plan. Contact your insurer to verify benefits.
Even as a private pay facility, you may be eligible for partial reimbursement through your insurance's out-of-network benefits. Here's a brief guide:
Contact your insurance to confirm out-of-network coverage for mental health services, including specifics on deductibles and session limits.
We provide a superbill each month, which you can submit to your insurance for potential reimbursement of therapy costs.
Monitor your claim's status with your insurance company and follow up as needed to ensure your reimbursement is being processed.
As a private pay practice, you can still seek reimbursement through Mentaya for out-of-network therapy sessions. Here’s how to get started:
First, visit Mentaya’s eligibility page here to see if you qualify for reimbursement. It's a simple process to determine your coverage for out-of-network mental health services.
If you’re eligible, sign up at Mentaya’s registration page here. Once registered, Mentaya will handle the submission of claims on your behalf, managing all the necessary insurance paperwork.
Mentaya will diligently work on your claim, keeping you updated on the status. They charge a 5% fee per claim but can help you reclaim a significant portion of your therapy expenses annually.
Navigating your insurance plan's benefits for mental health services can be straightforward with the right questions. Here's how to effectively gather the information you need:
At DBT Center Chicago, we've chosen a private pay model to ensure that we can offer highly personalized care without the restrictions insurance companies may impose. This model allows us to prioritize your well-being, offer flexible and responsive therapy sessions, and maintain strict confidentiality.
A superbill is a comprehensive receipt that we issue monthly, detailing the therapy services you've received. It includes all the necessary information for insurance purposes, such as the dates of service, treatment codes, and session costs. You can submit this document to your insurance provider monthly to request reimbursement for your therapy expenses.
Many clients successfully receive out-of-network reimbursements. The success rate varies based on individual insurance policies and out-of-network benefits. To help you estimate your potential reimbursement, we offer a free tool on our website where you can enter your insurance details and get an overview of your out-of-network rates. We still recommend contacting your insurance provider for the most accurate information regarding your specific benefits.
Absolutely! To support our clients, we've teamed up with Mentaya, a service that can help you determine eligibility for reimbursement for our therapy services. Additionally, our administrative staff is readily available to provide any required documentation and to answer any questions you may have about navigating the reimbursement process.
Yes, you can usually use your HSA or FSA to pay for therapy sessions. These accounts often cover mental health services, but we recommend checking with your account provider to confirm that our services are eligible expenses.
We accept various forms of payment, including all major credit cards, checks, and cash.
For individual sessions, we require at least a 24-hour notice to cancel or reschedule your appointment. If a session is canceled with less notice, you will be charged the full fee for the session. For group therapy sessions, you will be charged for your reserved spot regardless of attendance, as it is similar to reserving a seat in a class. We appreciate your understanding that this policy helps us manage our schedule and provide the best care to all our clients.
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