Mentaya
We are excited to announce that we have partnered with Mentaya to help clients use their out-of-network benefits for potential reimbursement on therapy!
**What are out-of-network benefits?** Here's a breakdown:
✨ If your insurance plan offers out-of-network benefits, it means they will cover a portion of the cost when you see a therapist who doesn't have a direct contract with your insurance company.
✨ Unlike in-network providers, who bill your insurance company directly, with out-of-network therapists, you typically pay for the session upfront and then submit a claim to your insurance for reimbursement.
✨ Insurance companies often reimburse a percentage of the therapist's fee, usually after you meet an out-of-network deductible. For example, after you meet a $1,000 deductible, your insurance may reimburse 50-80% of the session cost.
✨ Out-of-network benefits give you the flexibility to choose a therapist based on your needs and preferences, not just those in-network.
Mentaya is perfect if you:
• Have out-of-network benefits
• Feel overwhelmed by superbills and insurance
• Have submitted superbills but failed to get any reimbursement
• Simply want to skip the hassle of paperwork!
Here's how it works:
1. Reach out to us and let us know that you would like to use Mentaya. We will guide you and set up your profile with you.
2. Our practice will enter your sessions into the platform.
3. Mentaya submits the claim and handles any insurance follow-up.
4. You get reimbursed by insurance!
Mentaya charges a 5% fee per claim, which includes handling any paperwork required, dealing with denials, and calling insurance companies. For example, if the session is a $200 session, then you would pay $10 per claim to Mentaya. So you would pay $210 upfront, and will get the reimbursement from your insurance from Mentaya.
It's risk-free: They guarantee claims are successfully submitted, or a full refund of their fees.