Out of Network Billing
Out of Network Benefits
If you have a private insurance plan we are not in-network with, we may still be able to help you. You will have to pay the full fee up front. But we can give you a Superbill that you can submit a Superbill to receive any out-of-network benefits your insurance plan has. The amount of repayment will depend upon your plan’s policy. We are happy to supply Superbills for all insurance companies we are not contracted with.
Out-of-Network Plans
Some of the plans we are out-of-network with include:
- Cigna
- Health-Net
- Humana
- Optum
- United Healthcare
- Some nonlocal Medi-Cal plans
- Some Medicare Advantage plans
These other plans, that we are not in-network with, are unlikely to reimburse clients for out-of-network benefits without an authorization or special case agreement:
- Kaiser Permanente
- Statewide Medi-Cal
- Medi-Cal plans we are not enrolled with
Opting Out of Using Insurance
If you do not have out-of-network benefits, or you prefer not to notify your insurance company about your therapy, you can simply Opt Out. This means we will not collect your insurance information, not bill your plan, and not supply you with a Superbill.
Be sure to sign our Insurance Choice Consent Form (ask your therapist) to confirm that you choose not to use your insurance. Opting out is a way to utilize an in-network therapist who is not available for new clients at the regular plan payment rate.
Check your Out-Of-Network Benefits
Use the form below to see what out-of-network health insurance benefits you may qualify for. This tool is provided by a HIPAA compliant third party (Mentaya). You should verify any information provided with your insurance company. (Note: the word “Hartnett” on the form refers to Tim Hartnett, the director of Shine a Light Counseling Center)
If you have an HMO or other insurance policy that does not have out-or-network benefits, then we may be able to help you with a sliding scale fee.
Request an Appointment
We have openings in all our offices and via telehealth. You don't have to wait around on a wait list. Use our form to get matched with a therapist who will be a good fit for you.
