Exploring health benefits
If you have a health benefits policy, you can explore the possibility of coverage. The insurance company may reference this as a CPT code 90901 (biofeedback by any modality) or 96152 (Health and Behavioral Intervention incorporating Biofeedback). If your insurance company will authorize training, we ask that you pay for services and apply for reimbursement. A statement will be provided for your convenience in submitting claims.
Questions to ask insurance company
1. Does my policy cover biofeedback (Code 90901 or 96152) for my diagnosis of _________ and/or ________?
2. If yes, is it covered under Medical or Psychological Services?
3. What rate is reimbursed since Liz Schroth is out of network (e.g. 80% of usual and customary for in network vs. 50% of usual and customary for out of network providers)
4. If it is covered under Medical Services, do I need a prescription or letter from my MD to say that it is medically necessary?
5. How many sessions of biofeedback will you cover? Per week? Per year?
6. Is there a limit of total amount paid out? (i.e., caps out at $1500 each year)
7. Since Liz Schroth, LCPC is an out of network providers, do I need to see my primary care physician to make a referral to her?
Detail 3
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