As an educational consultant, you have a lot on your plate and helping clients navigate the complex world of mental health insurance coverage may not be your area of expertise. That’s why it can be helpful to enlist the services of a billing professional to help your clients get the coverage they need.

REVIEW INSURANCE POLICY: A mental health billing professional can review your client’s insurance policy and work with the IOP/PHP program to determine if they are willing to work with your client’s insurance company as an out-of-network provider.

WRITE LETTERS OF MEDICAL NECESSITY: In addition to reviewing insurance policies and communicating with the IOP/PHP program, billing professionals can write letters of medical necessity and advocate on behalf of your clients to ensure they receive the coverage they need.

UNDERSTAND COSTS: They can also help your clients understand their co-pay, deductible, and out-of-pocket expenses for mental health treatment with an out-of-network provider and explore options for financial assistance.

ADVOCATE FOR PARITY: It’s important to note that mental health treatment is protected under federal parity laws, which require that insurance companies provide equal coverage for mental health and medical/surgical care. If your client is experiencing barriers to coverage, a billing professional can help them advocate for their rights under the parity laws.

By enlisting the services of a billing professional, you can help your clients access the mental health treatment they need to thrive. Remember, mental health treatment is a crucial component of overall wellness and academic success, and your support can make all the difference in your client’s journey towards recovery.

At Restart, we refer our clients to our insurance billing professional who can assist with submitting claims and maximizing insurance benefits to help cover the cost of mental health treatment. While not all individuals may have their treatment covered by insurance, we work with our clients to explore options to ensure they can still access the care they need.