Coverage + Costs
Getting help from insurance for treatment.
mindfulSF does not contract directly with insurance companies but we do provide monthly billing receipts that you can forward to your insurance company should you desire to seek reimbursement. Many insurance companies will provide reimbursement for treatment provided by a licensed clinician. The amount that is covered varies, and we encourage you to check directly with your insurance company regarding reimbursement.
What are the advantages of working with an out-of-network provider?
Because insurance companies limit the size and scope of their network providers it can be difficult to find a local clinician who specializes in what you are seeking treatment for. Depending on the type of therapy you are seeking, providers who are out-of-network may also have more areas of specialized training in the treatment of certain conditions (e.g., in Exposure and Response Prevention for the treatment of OCD). In-network coverage may also be limited to a certain number of sessions that are pre-determined by the insurance company, which may impact the breadth of the support you are able to receive.
Here are some helpful questions you can ask your insurance company to find out more information regarding coverage:
What are my mental health insurance benefits?
Do you cover services for out-of-network providers?
If I see an out-of-network provider do I have a deductible and how much is it?
Are there a number of sessions per year that are covered by insurance?
What is the amount per therapy session that you will cover for an out-of-network provider?
What is the process for submitting claims for reimbursement?
Are any diagnoses excluded from coverage? Which diagnoses?
How long will it take for me to receive reimbursement once I submit a claim?
Learn more about the therapy that we offer.
Good Faith Estimate
Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage, both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises