🌿 Simplified Out-of-Network Benefits

Check your coverage in 30 seconds-CLICK HERE

The Modern Way to Use Your Benefits - *Partnering with Thrizer*

While I am an "out-of-network" provider, most PPO plans offer significant coverage for our sessions. Instead of the traditional "pay in full and wait months for a check" model, my partnership with Thrizer allows for a much more seamless experience.

How Thrizer Works for You:

  • Pay Only Your Co-Pay: Once you meet your deductible, you only pay your "co-insurance" (your portion) at the time of our session. Thrizer "floats" the insurance portion for you so you aren't waiting on a check.

  • Zero Paperwork: You never have to download, mail, or upload a "Superbill." Claims are filed automatically the moment our session ends.

  • Upfront Clarity: You can check your estimated out-of-pocket costs in seconds before we even meet for our first session.

If You’d Like to Double-Check Your Benefits

While my [Benefits Calculator] is highly accurate, you are always welcome to call your insurance company for a deeper look. Here is a "cheat sheet" to make that call stress-free:

What to say: "I'd like to check my out-of-network mental health benefits. I've found a specialist I really want to work with via telehealth."

Specific details to ask for:

  1. "What is my out-of-network deductible?" (This is the amount you pay before your insurance—and Thrizer’s "co-pay" mode—kicks in).

  2. "Once my deductible is met, what is my reimbursement rate for these codes?"

    • 90834: Standard 45-minute session.

    • 90837: Extended 60-minute session (standard for EMDR).

  3. "Is my plan's reimbursement based on the therapist's actual fee or an 'Allowed Amount'?"

Good to Know

  • The Deductible: If you haven't met your deductible yet, you will pay the full fee initially. Thrizer will automatically track this for you and switch you to "co-pay only" mode the moment your deductible is satisfied.

  • Your Privacy: For your confidentiality, charges will appear simply as "Thrizer" on your bank statements.

  • Transparency: Per the No Surprises Act, you are entitled to a "Good Faith Estimate" of expected costs before we begin.