Understanding Your Out-of-Network Benefits:

Utilizing your out-of-network benefits can be a powerful way to prioritize your well-being by choosing the best possible care that aligns with your specific needs. It is a valuable tool within your insurance plan designed to give you greater flexibility and choice in your mental health journey. We are here to support you in navigating this process. Please review the following information regarding what to expect when using your out-of-network insurance benefit.

Know Your Benefits:

Log into your insurance company's website or call member services (or the mental health services number) to find your plan documents and mental health coverage details.

  • Ask about:

    • Out-of-network outpatient professional mental health benefits.

    • Out-of-network deductible amount and how much has been met.

    • Out-of-pocket maximum amount and how much has been met.

    • When your deductible and out-of-pocket maximum renew (usually January 1).

    • Your cost-share (copay or coinsurance) for out-of-network outpatient professional mental health services after your deductible is met.

    • Whether a referral, prescription, or preauthorization from your primary care physician is needed.

    • Any limits on the number of sessions covered per week or year.

    • Whether your plan covers telehealth (online therapy) services.

  • Understand how to submit claims.

Payment Process:

You will pay our full fee at the time of service. We do not offer fee discounts or sliding scale options when you utilize your insurance benefit.

  • We will send you a monthly superbill (detailed receipt) with all information required by your insurance company for reimbursement.

  • You will submit the superbill to your insurer (often through their patient portal).

  • Your insurance company will send you a check for their portion of the cost-share.

Credit Card Storage:

Your credit card data is securely processed and stored by Vantage*, a PCI-compliant third-party processor integrated with TheraNest (our electronic health records system).

  • Credit card information is never stored within TheraNest, nor is it stored on any Greenhouse devices or servers.

  • You can securely enter your card details via your client portal, or your clinician can take the information during your first session.

*We will shortly be transitioning to Stripe. Updated information will be available soon.