Question 1

Insurance plans accepted

Accepted Answer

Aetna (except for non-WA state HMO plans)Blue Cross / Blue ShieldCignaFirst Choice HealthHealthcare Management AdministratorsKaiser Permanente WashingtonLifeWise Assurance Co. / LifeWise Health Plan of Washington Preferred / LifeWise PrimaryMedicareModern HealthOptumPremera Blue Cross (including Medicare Advantage)Regence BlueShield (including Medicare Advantage)United Healthcare / United Behavioral Health (including Medicare Advantage EXCEPT for Dual Complete (Medicare + Apple Health/Medicaid) and Washington Apple Health/Medicaid since I am not a Medicaid provider)Washington State Crime Victim Compensation ProgramWashington State Labor & Industries (L&I)

Question 2

Private-pay rates

Accepted Answer

For clients, my out-of-pocket, out-of-network fees are as follows:Intake or initial appointmentCPT 90791$30060-minute follow-up (at least 53 minutes)CPT 90837$30045-minute follow-up session (38-52 minutes)CPT 90834$25030-minute follow-up session (16-37 minutes)CPT 90832$200If I am not in-network with your insurance plan, you may still choose to work with me using your out-of-network benefits. You will be responsible for paying my private-pay rate at the time of each session. I can then provide a superbill for you to submit to your insurance company for possible reimbursement.Reimbursement is not guaranteed and depends on your specific plan. Your insurance company may reimburse none, part, or all of the session fee.

Question 3

Should I use insurance or pay privately?

Accepted Answer

Using insurance may reduce your out-of-pocket cost, depending on your deductible, copay, coinsurance, and other plan requirements. Insurance companies generally require a mental health diagnosis and receive certain information needed to process claims.Private pay may offer greater flexibility and privacy, but you are responsible for the full session fee.If I am not in-network with your plan, you may be able to use out-of-network benefits. You will pay my private-pay rate at the time of each session, and I can provide a superbill for you to submit to your insurance company. Reimbursement is not guaranteed and may cover none, part, or all of the fee.Before beginning therapy, I recommend contacting your insurance company to confirm your benefits and financial responsibility.

Question 4

Questions to ask your insurer

Accepted Answer

(Link to download pdf of insurance verification of benefits) Call your health insurance’s Customer Service line and inquire about the following:
- Does my health plan cover Outpatient Behavioral or Mental Health services?- Is Quyen B. Nguyen, Ph.D. (Psychologist) or PNW Happy Healthy, PLLC in-network?If they’re not in-network, ask the following questions:- Do I have Out-of-Network benefits?- How much will I be reimbursed if I see an Out-of-Network Therapist/Provider?- Do I have an Out-of-Network deductible? If so, how much is it, and when does it reset?If they are in-network, inquire about the following:- What’s my copay or coinsurance for each visit?- Do I have a deductible? If so, how much is it, and when does it reset?- Is telehealth covered?- Could you please verify that these CPT codes are covered under my plan?    - 90791: Psychiatric Diagnostic Evaluation without Medical Services    - 90832: Psychotherapy 30 minutes    - 90834: Psychotherapy 45 minutes    - 90837: Psychotherapy 60 minutes- Do I need approval/authorization before starting therapy/treatment?    - If yes, what’s my authorization number? Is there a cap to the number of sessions that are approved/authorized?

Question 5

Client paperwork

Accepted Answer

Here's a sneak preview:

Question 6

Secure client portal