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Grand Member
Member Since Apr 2010
Posts: 654
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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. |
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Pandita-in-training
Member Since Sep 2006
Location: Maryland
Posts: 27,289
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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 |
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 seventyeight
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New Member
Member Since Jun 2010
Posts: 4
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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! |
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seventyeight
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Grand Member
Member Since Apr 2010
Posts: 654
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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! |
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