Home Menu

Menu



advertisement
Reply
Thread Tools Display Modes
seventyeight
Grand Member
 
seventyeight's Avatar
 
Member Since Apr 2010
Posts: 654
14
5 hugs
given
PC PoohBah!
Default Jun 22, 2010 at 11:21 AM
  #1
does anybody know anything about a single-case agreemtent with an insurance company? as far as i understand, it's an agreement between your therapist and the insurance company to be like a temporary in-network provider just for you, the single case. i still have questions:

1) what are the disadvantages to the therapist in entering into such an agreement?

2) what is the pay from the insurance company to the therapist typically?

3) how is the therapist approved for the agreement and is it a relatively easy process?

any info would be great. i've called my insurance company several times, but these questions in particular i can't seem to get answers to.

thanks.
seventyeight is offline   Reply With QuoteReply With Quote

advertisement
Perna
Pandita-in-training
 
Perna's Avatar
 
Member Since Sep 2006
Location: Maryland
Posts: 27,289 (SuperPoster!)
17
550 hugs
given
PC PoohBah!
Default Jun 22, 2010 at 02:47 PM
  #2
Here's how one major insurance company structures them:

http://www.cignabehavioral.com/web/b...reementFAQ.pdf

It looks like it's probably the insurance company that has something in their paperwork that talks about it rather than the client getting to decide they want it. If your insurance company doesn't want to play, they may not have the option in your policy?

__________________
"Never give a sword to a man who can't dance." ~Confucius
Perna is offline   Reply With QuoteReply With Quote
 
Thanks for this!
seventyeight
PsychedAgain
New Member
 
Member Since Jun 2010
Posts: 4
13
Default Jun 24, 2010 at 07:05 AM
  #3
Hi SeventyEight,

I've worked in the insurance field for 8 years. Here is some info that may help:

1) what are the disadvantages to the therapist in entering into such an agreement?

Not many as long as they can agree upon the rate. (Most do in my experience.)

2) what is the pay from the insurance company to the therapist typically?


usually $50- $100 per hour depending on plan, contract, location and licensure/specialty. And they do not pay for cancellations or "no shows."

3) how is the therapist approved for the agreement and is it a relatively easy process?


The company does a couple of things. 1- decide that you need to see this particular therapist and no one else is able to treat you. 2- call the therapist to negotiate a rate.

If both of these parts go well, then you will be all set.

Good luck!
PsychedAgain is offline   Reply With QuoteReply With Quote
 
Thanks for this!
seventyeight
seventyeight
Grand Member
 
seventyeight's Avatar
 
Member Since Apr 2010
Posts: 654
14
5 hugs
given
PC PoohBah!
Default Jul 14, 2010 at 03:30 PM
  #4
just an update: my therapist contacted the insurance company, and they said yes to the single-case agreement!

i wanted to post this just in case there's anyone else wondering if it's possible.. it can happen, so it's worth giving it a shot!
seventyeight is offline   Reply With QuoteReply With Quote
Reply
attentionThis is an old thread. You probably should not post your reply to it, as the original poster is unlikely to see it.




All times are GMT -5. The time now is 05:26 AM.
Powered by vBulletin® — Copyright © 2000 - 2024, Jelsoft Enterprises Ltd.



 

My Support Forums

My Support Forums is the online community that was originally begun as the Psych Central Forums in 2001. It now runs as an independent self-help support group community for mental health, personality, and psychological issues and is overseen by a group of dedicated, caring volunteers from around the world.

 

Helplines and Lifelines

The material on this site is for informational purposes only, and is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.

Always consult your doctor or mental health professional before trying anything you read here.