Since Consultations are described as therapy-ish, you might have questions about whether they're covered by health insurance, since therapy typically is. As noted throughout this site, Consultations are not the same as psychotherapy/clinical counseling and are not for the treatment of mental health conditions, and are therefore not eligible for health insurance coverage.

 

Health Insurance Coverage & Medical Necessity

The health insurance system can be extremely complex and difficult to understand completely, even for many providers. But here's the bottom line: Health insurance doesn't cover everything related to the health of our bodies and minds, only the services that meet medical necessity standards. Even if a service is deemed medically necessary, in order to be covered it has to meet certain criteria and each service is covered at different rates. Co-pays, co-insurance and deductibles are paid first before the health insurance company pays the rest of the cost, and individual policies vary in their coverage. Further, there can be a number of services that are not covered by health insurance, even though they're related to our physical or mental health. For example, elective procedures are often not covered, because the idea is you can choose to have it or not have it, so it is not considered medically necessary.