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NATIONAL DEAF THERAPY
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National Deaf Therapy
Single Case Agreement
You already found out about your out-of-network mental health benefits? Maybe you looked at the paper and felt that it was too high, or maybe your insurance is not covered. We have different options available. First, you can try asking your insurance company for authorization. That authorization is called a Single Case Agreement. This means NDT is out-of-network. If your insurance company approves authorization and gives NDT a Single Case Agreement which can be shortened as SCA. When they authorize NDT with a SCA, it means NDT is changed from being out-of-network to in-network. It can provide you the same kind of services as your in-network rates/benefits plan. How do you get authorization? You call your insurance company. In the back of your insurance card, it will show you phone numbers for customer services/members' services. One of the options is called authorization or pre-certification department. When you connect to the person, explain to them that you want to see NDT for therapy services. Make note that NDT is out-of-network and say "I want to see their therapist because I'm deaf, the therapist is deaf as well and I use ASL for communication" and continue to explain your reasons. The person from the insurance company can help you navigate through filling out forms to show a Single Case Agreement. Each insurance companies' process is different. You have to call and they will support you through that process. Sometimes, it can be very easy to obtain authorization. Sometimes, it can be challenging to get authorization from some insurance companies. Other insurance companies will deny out of network and your reasons. Responses can vary. You will need to call them and find out. If authorization gets approved, then go ahead and connect with me and we can discuss and connect from there. If you get denied or not interested in dealing with your insurance company, that's perfectly fine, we have other options available. If you got denied or you are not interested in an insurance option, the next option is self-pay. This means that you agree with insurance being waived and will proceed to not using insurance at all. Self-pay being your option. NDT provides a sliding fee schedule, you can look it over and check to see what rate you qualify for. It ranges from $85 to $150 per session, depending on your household's income and how many people in your home. The sliding fee schedule is available for you to decide whether you can continue to use self-pay or try to go for the insurance authorization option. With the insurance authorization option, we will be working together as sometimes insurance companies prefer NDT to call them. You can email me the names, numbers and I will call them and start the process. Authorization that is given varies. For example, it can be possible that authorization can be approved for only 10 sessions or 6 months. It's very important that you are familiar with your authorization so you know how many approved sessions and how long your sessions can be. Also, sometimes authorization can cover 60 minutes session or 45 minutes session. It's different for each insurance company so it's important that you understand and can navigate what authorization means. We can support you in understanding this. Let us know if you have any questions or need support.
National Deaf Therapy
Verification of Benefits
Do you want to connect with NDT for services but wonder if your insurance would cover this, what your financial responsibility looks like and wonder if you have co-pay? I will explain how you can find that out. First, look at NDT 's website. They have different links such as insurance and billing, click on it and it will pop-up and provide you a list. That list shows insurance companies that are currently in network with NDT. Which means NDT is already connected and is in agreement with those insurance companies. You can look to see if your insurance company is there. If it's on the list, then it is in-network. If you checked and saw that it is not shown on the list, it means that it's out-of-network. So, what do you do next? The back of your insurance card will typically have phone numbers for member services. Go ahead and call them. You will be connected to an automated machine that typically gives you options. Go ahead and pick benefits/coverage options. You will be connected to the person. You have to ask " what are your mental health benefits plan? ". Be aware that insurance companies sometimes use different wordings such as mental health or behavioral health. Ask them what are my mental health or behavioral health benefits?. They will ask, " in-network or out-of-network?". Go ahead and answer them, "you want both". They can tell you your out-of-network benefits, write them down. When they tell you your in-network benefits, write them down, so you can have both. Also, it is important to ask if telehealth is covered? Some insurance companies accept telehealth. NDT is 100% online. Some insurances accept, others do not. So, it is very important to find out. If your insurance will actually accept it. Once that is done, you will look over your in-network and out-of-network options. If NDT shows that we are "in network" and your insurance company is on our website, then I recommend going ahead and asking the person working for your insurance company, "NDT says they are in-network , do you mind checking to see if NDT is covered by my plan?". They will confirm for you. The person in the insurance department can check for you. If NDT is out of network, get your out of network benefits. If you feel this works for you, you can proceed. Next step, connect with our front desk advocates. They can support you with what to do next. If you are unsure about this maybe because your deductibles are too high or your insurance won't cover out of network options. You can ask for authorization. There is another video that explains how that process works. Again, if you have any questions, need support, you can connect with our front desk advocates, they are available to help you through the process.
National Deaf Therapy
Insurance Verification of Benefits Disclaimer
Insurance Verification of Benefits Disclaimer: As a courtesy, National Deaf Therapy will attempt to verify your health insurance benefits and/or necessary authorizations for you. Please be aware, this is only " A QUOTE of Benefits/Authorizations." We cannot guarantee payment of verify that definite eligibility of benefits conveyed to us or to you by your carrier will be accurate or complete. Payment of benefits are subject to all terms, conditions, and exclusions of the member's contract at the time of service. Your health insurance will only pay for your services that determines to be ' reasonable and necessary". Our office will make every effort to bill your insurance company in a timely manner. If your carrier determines that a particular service is not reasonable and necessary, or that a particular service is not covered under your plan, your insurer will deny payment for that service and it will become your responsibility. We recommended you to be familiar with and verify your benefits with your insurance company prior to your services at National Deaf Therapy. Please be aware that even then, it is still not a guarantee of benefits or payment.
National Deaf Therapy
Hello! My name is Makoto. This is my sign name. I am excited to be part of the National Deaf Therapy. I am a licensed clinical social worker in Pennsylvania, Florida, and Georgia. I have experience working in both mental health and addiction settings. I want to work with you to change challenges to opportunities to help you grow both personally and professionally. I look forward to working with you. Thank you.