The National Anxiety and OCD Treatment Center is an out-of-network (OON) provider and does not participate with health insurance providers, including Medicare or Medicaid. We understand that this is a challenge for some, but we believe participating with insurance companies interferes with our ability to provide the highest level of quality care. Insurance companies can limit the length of appointments, the frequency of sessions, and the total number of visits allowed. They also can require providers to submit their notes and treatment plans, compromising patients’ privacy. In addition, insurers can regulate the types of treatment they will cover, meaning not necessarily supporting all evidence-based treatments. This impacts clinicians’ ability to work with patients to provide a collaborative treatment plan best suited for the individual.
At the National Anxiety and OCD Treatment Center, patients pay at the time of the appointment and are given “Superbills” at the end of the month. These statements have all of the necessary information on them for clients to file with their insurance for out-of-network reimbursement should they choose to do so. Our fees are based on the clinician’s level of experience and range from $175-$250 per 45-minute session. We currently do not offer sliding scale.
Out of Network Benefits
To determine if you have out of network benefits, contact your insurance company (the customer service number on the back of your insurance card) and ask if you have mental health (sometimes called behavioral health) out-of-network benefits with your specific plan. This is typically a percentage. If, for example, a clinician charges $250 per session, you would pay that full amount at the time of the visit. Then you would submit your “Superbill” to your insurance company. Each insurance company and plan has deemed an “allowed amount” for each service, which is how much they believe the service should cost. There is no general rule on this one, unfortunately. For example, if they deem the service to be allowed at $125 and your out of network coverage is 60%, then they will pay you 60% of $125, or $75, making your out-of-pocket cost $175. Keep in mind, most insurance plans have deductibles, so they won’t pay anything until the deductible is met, and sometimes there’s often a different deductible for in network and out of network.