Mental Health No Insurance Coverage

"*" indicates required fields

MM slash DD slash YYYY
Patient Name*
No Insurance Coverage
Upon checking with this insurance company, the patient does not have any coverage for Mental Health Counseling. It is an exclusion on their insurance policy.

So mental health counseling is not covered by patient’s insurance.
When we call on a patient's insurance and verify benefits it is not a guarantee of payment by the insurance company and may vary according to the patient's individual plan when the actual claim is submitted. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member's contract at time of service. The patient responsibility amount provided is an estimate of cost. The patient must understand that their health insurance company may deny payment for the services received. The patient must understand that it is ultimately the patient's responsibility to contact their insurance if they want to know exact benefits.
This field is for validation purposes and should be left unchanged.