Neurocove Behavioral Health, LLC

 Specialists in psychological assessment, therapy, and counseling for 

anxiety, depression, and trauma throughout Florida. 

Insurance vs Self-Pay Information

Insurance vs Self-Pay: Things to consider.

When considering a therapist, how you plan to pay may make a difference. Exploring the differences between insurance vs self-pay may impact which options you choose. After all, cost is a consideration when examining treatment options. Many patients aim to find the most economical approach possible which often means going through their health insurance. We at Neurocove Behavioral Health, LLC strongly advocate for our patients, and actively encourage anyone who feels they might benefit from therapy to seek out care, regardless of using insurance or self-pay. We also want to provide prospective clients with the opportunity to consider a few advantages of paying privately.

Benefit 1: More therapists and treatment Options.

Insurance companies often state they have vigorously vetted therapists, counselors, and psychologists through a rigorous screening process to ensure only the best providers are allowed to enter contract agreements. Insurance companies also frequently indicate that certain therapists, counselors, and psychologists have actively chosen not to work with your insurance company. 

In reality, insurance companies often only contract experienced providers into their network, and when they do accept new providers, prioritize providers with convenient locations and lower fees. With large HMOs, a “one size fits all” method of treatment can often severely limit access to mental health coverage. This may mean that you will not find a provider who is a good fit for you as the pool of potential therapists has been arbitrarily limited. Further, many extremely qualified providers may refuse to work with insurance panels because quality therapy requires additional resources to provide, which insurance will rarely cover.

Benefit 2: Control over your therapy

Those who privately pay for counseling sessions also retain greater control over the number of sessions they can have with their therapist. Under many insurance panels, care may be limited to a specific diagnosis. If your care or session does not correspond with your diagnosis, your insurance company may decide no further treatment is required. In addition, with many insurance providers, you have a limited number of sessions. If you exceed your allowable number of sessions, your insurance company may request a review of your mental health records to ensure the treatment you were provided was appropriate.

 

Photo by Fabian Blank on Unsplash

Benefit 3: Confidentiality

Insurance companies require specific documentation before they will pay or reimburse for your therapy or counseling sessions. All therapists, counselors, and psychologists are directed by federal law to keep confidential records. Failure to do so may result in penalties or forfeiture of your provider’s license. 

When you use your insurance company, counselors/therapists usually must you sign a waiver that allows us to share confidential information with your insurance. At a minimum, this confidential information includes dates of service and mental health diagnosis. In the event your insurance company requires preauthorization for treatment and/or reviews your file, additional information, such as therapeutic session notes, may be required and reviewed by your insurance company.

This information may become part of your insurance record and could be used by insurance companies to raise your insurance premiums as well as prevent you from being able to obtain life insurance, disability insurance, as well as future private health insurance should you make the decision to become self-employed in the future.

insurance vs self-pay
Photo by Dan Nelson on Unsplash

Insurance companies are members of the Medical Information Bureau (MIB) and medical conditions and mental health disorders are reported by the insurance companies to the Medical Information Bureau. This information, including mental health diagnoses, may not only have an effect on your future insurance coverage but it can also affect your eligibility to enlist or commission into the armed forces and can even negatively affect your driving record and ability to participate in risky sports. When you apply for health insurance, life insurance, or disability insurance, your prospective insurance provider obtains a report of your records from the MIB.

Because insurance reimbursement rates are low, paperwork is time-consuming, and coverage is tightly managed and limited, more and more counselors, therapists, and psychologists are making the decision not to participate in managed health care insurance networks. This may affect your ability to get the best care possible.

Another thing to keep in mind when considering using insurance vs self-pay is that contrary to popular belief, therapy does not have to be a never-ending process. In fact, long-term therapy is increasingly shown to become counter-productive. Cognitive-behavioral therapy (CBT) is time-limited and typically consists of between 8-12 sessions. With CBT, your therapist works with you to learn new coping skills and once you master these skills and see positive changes in your life, therapy concludes.

Are you ready to begin? Start here.

Nicholas James Psychologist Orlando Florida

Nicholas James, Ph.D.

LICENSED CLINICAL PSYCHOLOGIST

ABOUT ME

My name is Nicholas James, Ph.D. I have experience working with individuals facing anxiety, depression, stress, trauma, insomnia, and caregiver strain. I focus on matching evidence-based therapies to the needs of my clients to meet their personal goals of recovery and growth.

OUR FIRST SESSION

I believe that change occurs through personal reflection, cultivating strengths and resources, and incorporating growth into everyday life. It is my goal that each session is collaborative and integrates needs, beliefs, and your background into a person-centered treatment plan.

MY APPROACH

I try to bring a genuine, humanistic atmosphere to every session. My therapeutic approach is centered in Cognitive Behavioral Therapy (CBT) and incorporates additional evidence-based practices to address unique needs that arise during therapy.

INTERVENTIONS

Trauma Focused

Exposure Response Prevention

Acceptance & Commitment (ACT)

Behavior Modification 

Humanistic

Motivational Interviewing Mindfulness-Based (MBCT)

Cognitive Processing (CPT)

Cognitive Behavioral (CBT)

Benson Munyan Psychologist Orlando Florida

Benson Munyan, Ph.D.

LICENSED CLINICAL PSYCHOLOGIST

ABOUT ME

My name is Dr. Benson Munyan. I specialize in working with those experiencing symptoms of anxiety, depression, and trauma. If you are reading this, there’s a good chance you’re looking for something. Whatever the origin of your story, you are here. There is no time like the present to change our tomorrow.

OUR FIRST SESSION

From our very first session, skills are introduced, demonstrated, and assigned as practice assignments between meetings. I collaboratively set each session agenda with my clients, ensuring we have time for following up since the last session, troubleshooting any problems with skills or homework, and working on new problems or material.

MY APPROACH

Let’s be honest. Sometimes, life is hard. And sometimes, it downright sucks. There, I said it. I believe we should be able to use everyday language in therapy, and that participating in therapy as our most genuine selves empowers us to better understand the challenges we’re facing as well as potential solutions.

INTERVENTIONS

Cognitive Behavioral Therapy

Cognitive Processing Therapy

Trauma-Focused Therapy

Dialectical Behavioral Therapy

Acceptance and Commitment Therapy

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