Lindsay and other therapists at Play Therapy Connection are private pay only. Lindsay’s full fee is $140 for each session, parent coaching meeting, and for the intake appointment. There are limited reduced fee slots available - reach out to see if you qualify. Lindsay also accepts Victims’ Compensation reimbursement and is partnered with Second Wind Fund Grant, a Colorado non-profit that fully reimburses for services if your child is considered at-risk for suicide. If accepted, the Second Wind Fund Grant will cover 12-20 sessions at no cost to you - reach out to Lindsay for more information.

Some families elect to use their insurance’s out-of-network benefits. If you plan to utilize your out-of-network benefits, it is helpful to let your therapist know at the onset of services, and your therapist can provide you with a monthly superbill and CMS 1500 form, along with other needed documentation. If you elect to use your out-of-network benefits, insurance companies can and do request documentation to determine if the services provided meet medical necessity criteria as established by an insurance carrier. Listed below are helpful tips and questions for your insurance provider when determining your out-of-network benefits. I also recommend using the website https://www.mentaya.com/ for help navigating your out-of-network insurance benefits.

Questions to ask your insurance provider when determining out-of-network benefits:

1. Does my policy cover out-of-network services provided by a Licensed Clinical Social Worker (LCSW)? My provider is located in Colorado.

2. What documentation is required to determine medical necessity for reimbursement? I will be paying for services at the time of service, and the provider will then provide a superbill that will include the date of service, the CPT code, the location, and the diagnosis code.

3. What CPT codes are covered? These are codes that the time and type of service.

4. Are there any diagnoses that are not eligible for reimbursement?

5. How many sessions are covered per year?

6. Is there a lifetime maximum on benefit?

7. What is my out-of-network deductible and when does that restart (enrollment year or calendar year)?

8. What percentage of the session fee is eligible for out-of-network reimbursement?

9. What is the payment schedule or turnaround time from claim received to payment sent?

10. What is the number for claims if a claim is denied?