Quote:
Originally Posted by fille_folle
My insurance pays, but it really depends. I think they'll usually pay, but if they have a max number of sessions they're authorizing, you might run out of sessions this way. In my situation (in the US with private insurance), it seems like my T just has to justify based on medical necessity. When I worked for an agency serving Medicaid clients, it was similar.
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I got insurance to pay for 3x/week for a few months but then they said that I need a higher level of care if I'm going that often. Now they will only pay for once a week. Any additional sessions are at the full negotiated insurance coverage rate. My T's out-of-pocket rate is $120, which is what I paid before I started using my insurance. I'm paying $92.50 now for sessions above the one a week allowed.