FEES/OUT OF NETWORK

Happy family who received play therapy treatment in Middlesex NJ

-Initial Intake Appointment for Therapy: $275

Therapy services for children/adolescents require two intake appointments (one with the parent and one with the child/teen):

  • 1st Appointment: Intake Session w/ parent: $275

  • 2nd Appointment: Intake Session w/ child/teen: $275

-Therapy Sessions: $250

-Neurodiversity Affirming Evaluations for Children, Teens, and Adults: click here

-Immigration Mental Health Evaluation: click here

True Reflections Mental Health Services is an out-of-network provider. The full payment is due at the time of the appointment.

Reimbursement Options for Out-of-Network

  • I am happy to provide you with the proper documentation (“Superbill”) to file a claim electronically with your insurance company for partial reimbursement of services. Superbills are emailed at the end of each appointment so that you can submit your claim to insurance as quickly as possible.

  • I am working with Mentaya, a platform that assists clients in getting reimbursement from their insurance company for out-of-network claims. Mentaya files claims and follows up with your insurance to make sure that you get reimbursed. Mentaya charges clients a 5% fee per claim. This service is completely optional and I do not benefit from your participation in any way.

Click below to see if your insurance plan has out of network benefits!

QUESTIONS TO ASK YOUR INSURANCE WHEN USING OUT-OF-NETWORK BENEFITS

  • Does my policy have out-of-network benefits?

  • Does my out-of-network benefits cover mental health in office or Telehealth treatment?

  • Is prior authorization required?

  • Does my policy require a referral?

  • Do I have an out-of-network deductible? If yes, what is it? How much of my deductible has been met?

  • Are the following CPT codes (90791, 90834, 90837, 90846, 90847, 90832, 90785) covered?
    Testing CPT codes: 90791, 96136, 96137, 96130, 96131

  • What is the the usual and customary fee for each CPT code and what percentage is covered?

  • Is there a limit on the amount of sessions covered?

  • Where do I submit my Superbill (Statement for Insurance Reimbursement) for each session?

*It is important to obtain the name of the insurance representative that you speak with as well as a reference number for the phone call.

Good Faith Estimate

For information about a Good Faith Estimate please click the link below:

Information about Good Faith Estimates

*Methods of payment accepted: True Reflections Mental Health Services accepts cash, checks, credit cards, as well as Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA).