Out-of-Network inquiry - TRILLIUM PSYCHIATRY, PLLC

To verify your out-of-network benefits, call the number on your insurance card that is designated for mental health, substance abuse or the general customer service and have them guide you to the mental health/substance abuse benefits department. Once on the phone with the agent, ask the following questions:

1. Do I have out-of-network benefits for out-patient mental health and/or substance abuse services?
2. Do I need to have prior authorization to have services covered? If so, how do I go about getting authorization?
3. Are there any deductible, co-payments, out-of-pocket payments or other payments that I am responsible for before my out-of-network benefits kick in? If so, what are these amounts?
4. What percentage of out-of-network benefits is covered? Is there a max amount (usually per year) where my insurance will stop covering the out-of-network benefits?
5. Where and how do I submit bills in order to get reimbursed?
6. Do I need a special form in order to submit bills? If so, where do I get it from?
7. Before the conversation ends write down the name and contact number of the agent you spoke with along with the date of the call.