Insurance
I am able to accept insurance through the Alma Provider Network. Though I might be In-Network with your insurance through Alma, every plan is different with costs for the subscriber. Alma’s customer service will perform an eligibility check to determine your therapy costs, or you can inquire about your costs here. You can also contact your insurance company directly and ask the following questions:
In-Network/ Out-of-Network
Does my plan offer In-Network or Out-of-Network mental health/ behavioral health services?
Telehealth
Does my plan cover telehealth services? Do telehealth reimbursement rates differ from in-person?
Reimbursement Rate
How much does my plan reimburse for /out-of-network telehealth mental health services?
Procedure Code(s) Approved
Which types of sessions are covered and how much is reimbursed for each type of session?
Ask about the different types of session using the following CPT codes that are most commonly used:
90791 – Diagnostic evaluation
90832, 90834 and 90837 – Individual therapy
90846 – Family therapy without patient
90847 – Family therapy with patient
Number of Visits
Do I have a maximum number of visits allowed per year or certain frequency of sessions (e.g., weekly, biweekly)?
If so, when does my calendar year start and end?
Prior Authorization
Do I need prior authorization or approval from my primary care physician?
If so, what do I need to do to obtain authorization?
Authorization Dates
If I have a prior authorization required, what is the effective date and expiration date?
Deductible
What is my annual deductible?
Have I met the deductible for this year already?