QUESTIONS & ANSWERS

Frequently Asked Questions

At Access to Coverage, we understand that navigating insurance and securing coverage for therapy can be overwhelming. To make the process as clear as possible, we’ve compiled answers to some of the most common questions we receive. If you have any additional questions, please feel free to contact us directly.

1. What is Access to Coverage?

Access to Coverage is a service that helps individuals obtain coverage for therapy with their out-of-network provider. We negotiate with your insurance company to treat your therapist as in-network, reducing your out-of-pocket costs and making therapy more affordable.

Getting started is easy! Simply contact us at 848-525-0066 or email [email protected]. We’ll guide you through the process, collect the necessary information, and send you the forms to begin.

To start the process, we will need:

  • Insurance provider details (including your policy and group number, or a photo of your insurance card)
  • Your personal information (name, address, date of birth, and Social Security number)
  • Your therapist’s contact details and necessary documentation (such as NPI, diagnosis codes, CPT billing codes, and session charges)

Once we have this information, we’ll begin the negotiation with your insurance provider.

Once we receive all the necessary information and the application fee, we will begin the negotiation process, which typically takes between 3 days up to 14 days. After confirming approval, we work to secure as many sessions and the longest coverage period possible, so you have the access to therapy that you need and deserve.

Our fees are clear and upfront:

    • Initial Consultation: Free
    • Non-Refundable Application Fee: $100 (this is applied towards the case processing)
    • Coverage Approval Fees:
      • Coverage up to $9999 is $500 (additional)
      • Approval of $10,000 or more is $1,000 (additional)
  • Therapist Bill Submission: $100 per submission (if you want us to submit your therapist’s bills directly to your insurance company)

Typically, we negotiate coverage for future therapy sessions. However, in some cases, retroactive coverage for past sessions may be possible. We will work with your insurance company to explore if reimbursement for past sessions can be arranged.

If your insurance company denies your request, we’ll continue to advocate for you. We may ask for reconsideration or file an appeal, depending on the situation. We will guide you through the next steps and keep you informed on any progress.

Yes, we specialize in securing coverage for various therapy services, including mental health therapy, counseling, physical therapy, and more. We can assist with a wide range of therapy-related coverage needs.

We can help secure coverage for multiple therapists or family members, as long as they are covered under the same insurance plan. Please contact us to discuss your specific needs, and we’ll work to secure coverage for everyone involved.

If you have any further questions, don’t hesitate to reach out to us. You can contact us by phone at 848-525-0066 or by email at [email protected]. Our team is here to assist you every step of the way.

Still have questions?

If you didn’t find the answer you were looking for, please contact us directly. We’re happy to provide more information and guide you through the process of securing therapy coverage.

We look forward to hearing from you!