Fees & Insurance

Insurance

We understand how challenging it can be to determine if or how your insurance will pay for your treatment.  We hope the information below will make the process a little easier.

We are an Out-Of-Network provider:

Our practitioners are not in network with any insurance providers. If your insurance plan does not have Out-Of-Network coverage, then it won’t cover your visits with us. That includes Medicare, Medicaid, and Medicaid Managed Care Plans. Please be sure to know what kind of plan you have and if you only have insurance with in-network providers.

If you aren’t sure if you have Out-Of-Network coverage, here’s how to find out:

Call the number on the back of your insurance card and ask the following questions:

1. Do I have Out-Of-Network benefits for mental health services?

2. Do I have a deductible for Out-Of-Network mental health services? 

3. What is the reimbursement rate for mental health services? (The usual rate for this is 50%-80%).

4. What is the approved visit cost for mental health services?

Answering these important questions first can help save you time when signing up with us because you'll already have that pertinent information available if you choose to move on with one of our clinicians for your specific treatment needs.

Making the process as efficient as possible helps everyone get the help they need in a way because it allows the client to know their status before coming to us and it helps the clinicians by allowing them to get to the questions they need to ask much faster in the process.  

If your insurance covers Out-Of-Network visits, this is how it usually works:

Every plan and provider is different, but many plans with Out-Of-Network coverage have a deductible and provide reimbursement for the cost of our services.

The deductible is the upfront amount you have to pay until your insurance can begin reimbursing you. When you start coming to see us, you pay for the full cost of your visits up front until you’ve met your deductible. This amount is different for every plan.

Once you hit that amount, your insurance will start pitching in. They’ll reimburse you for a percentage of the cost of your visits.

That percentage varies by plan, but usually, the amount is around 50-80% of their “approved visit cost” or “customary amount” for a session. That approved amount may or may not be as much as the actual cost of the visit.

For example, if your therapist charges $200 per session but your insurance plan’s “approved visit cost” is only $150 per session, they will only reimburse you 50%-80% of $150.

You’ll pay the full amount to the office, and your insurance company will send you a reimbursement check in the mail.

If you have any other questions about our fees and insurance, here are some common FAQs related to our insurance policy here at Mind Body Seven.

If you are looking for an in-network insurance provider with the same great quality as Mind Body Seven, our sister practice, Integrative Mind, is a great option for you.

If you have any questions that haven’t been answered here, please don’t hesitate to reach out:

Phone: 212.621.7770

Email: info@mindbody7.com