Insurances Accepted
Mental health services should be easy for everyone to access. When using insurance, there are a lot of factors that determine what co-pay or portion of services you may be responsible for, if any. While members are responsible to confirm their benefits prior to beginning therapy, navigating insurance can be very overwhelming, confusing, and inaccessible. Please reach out if you have any questions about your insurance and if you need assistance verifying your coverage.
If you have a Medicare Advantage Plan, coverage is different than Medicare Part B. Please reach out to see if I accept your advantage plan.
I accept some MassHealth/Medicaid Plans. Please reach out to verify/confirm coverage.
I am in-network with:
Important Questions To Ask Your Insurance Company:
Is this provider (Leah Sherman-Collins, LICSW. NPI #: 123-587-7127) in-network with my health insurance?
What is my in-network deductible for outpatient mental health visits? How much of my deductible has been met? Are outpatient behavioral health services subject to the deductible?
What is my copay for outpatient mental health visits? Is this coverage applicable before or after I meet my deductible?
Is there a limit on sessions your plan will cover per year? If Yes, How many? Does my policy cover 53+ minute sessions if medically necessary? If yes, how many?
What is the policy year (i.e. Jan 1 – Dec 31)?
Does your plan require pre-authorization for psychotherapy?
Terminology
Co-pay: This is a fixed amount you pay for each therapy session (e.g., $25 or $40), set by your insurance plan.
Deductible: This is the amount you must pay out-of-pocket for healthcare services before your insurance begins to cover costs. For example, if your deductible is $1,000, you’ll pay the full session fee until that amount is met. Some insurance plans do waive the deductible for behavioral health visits, meaning they cover services like therapy before you meet your deductible. However, this is not true for all plans, and it varies.