Out-of-Network Information

At Westhampton Counseling Group, we do not work directly with insurance companies or third-party payers. This means our clinicians are considered Out-of-Network providers.

Can I still use my insurance benefits?

While many families choose not to submit claims at all to preserve privacy, some insurance plans do offer Out-of-Network reimbursement for mental health services.

To find out if this applies to you:

Check your insurance policy’s Summary of Benefits for Out-of-Network coverage.

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

• Do I have Out-of-Network benefits for outpatient behavioral health?

• What is my Out-of-Network deductible, and how much has been met this year?

• What percentage of each session will be reimbursed once the deductible is met?

• What are the reimbursement rates for the following services:

  • Initial therapy evaluation (CPT Code 90791)

  • Ongoing therapy sessions (CPT Code 90834)

  • Initial medication evaluation (CPT Code 90792)

  • Medication management follow-up visits (CPT Code 99213 or 99214, sometimes with 90833 if combined with therapy)

• Which form do I use to submit my Superbill?