Fair coverage and reimbursement for tele-health therapy sessions

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During this time of COVID-19, PsiAN is gathering information on insurance plans that are not full covering tele-mental health. Perhaps they are failing to cover tele-health therapy sessions at all or requiring that any tele-therapy be conducted through proprietary, exclusive networks.

Please complete this survey, focusing on ONE health insurance plan at a time. If you've encountered issues or obstacles with more than one plan, please return and complete the survey again for each additional plan.

Are you or your patients aware of insurance plans that offer:

no coverage at all for tele-health therapy sessions

telehealth allowed only for physical health conditions -- mental health is excluded

telehealth therapy covered only if offered by in-network provider

telehealth therapy only allowed if conducted through a proprietary network, such MDLive or LiveHealthOnline

lower reimbursement for tele-health therapy session than for in-office therapy session

If YES to any of the above, please fill out the following information:

Plan type:

Individual

Small Group - private (private employer, with less than 50 employees)

Small Group - public (public employer, with less than 50 employees)

Large Group - private (private employer/union, with more than 50 employees)

Large Group - public (governmental, city, public school, with more than 50 employees)

Name of Employer/Plan Sponsor:

Name of claims administrator (for ex, Anthem, BCBS-Illinois, UMR, etc):

Health plan issued in which state (where the health plan is underwritten/purchased, not necessarily where the patient lives):

How do you know this information about the insurance plan?

My patient told me

I contacted the insurance company myself

I filed a tele-health claim and it was denied

I filed a tele-health claim and it was paid at less than my regular in-office rate

A colleague

Other:

Are you in-network or out-of-network with your patient's insurance plan?

in-network

out-of-network

Clear selection

Regarding this insurance policy, does it cover out-of-network mental health services in general?

Yes, the policy covers out-of-network mental health services in general

No, the policy does not cover out-of-network mental health services in general

I don't know

Clear selection

Your work setting

individual private practice

facility, or clinic

Other:

Clear selection

What else should we know about this insurance plan, or its issues with covering tele-health therapy?

If you have a copy of the insurance plan or documents showing these restrictions, please email them to info@psian.org. (Be sure to remove any patient names or protected health information first.)

How can we contact you if we have questions?

Name

Email: *

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