Before your visit

You may want to ask your insurer the following questions:

• What is my eligibility for out-of-network mental health or behavioral health outpatient care?

• How much would be covered for office visits that have the CPT code of 90792 (initial evaluation by MD), 99214 (medication check, moderate complexity), 90833+99213 (individual therapy + medication management)?

• Am I responsible for a certain amount of payment each year (deductible) before my insurance starts to cover payments?

• How many session are covered by my plan per calendar year?

• Do I need to have a pre-authorization before services? What is the process for submitting this and being approved?

• Are there any differences in what is covered if my psychiatrist is seeing me by telehealth (video conference)?