top of page

FAQs

DSC_9861.jpg

Frequently Asked Questions

​

Insurance FAQs

Do you accept my insurance?

  • We accept a limited number of plans. Accepted plans vary by provider type and credentialing. Please upload the front and back of your insurance card during intake to verify eligibility.

 

Accepted Insurance Plans

  • CBH/Medicaid (Philadelphia County residents only)

  • Quest Behavioral Health

  • United/Optum (not all United plans)

  • LEHB (Law Enforcement Health Benefits)

  • Aetna

  • If your plan isn’t listed, we cannot accept it at this time.

 

Why don’t you accept my insurance?

  • Some insurance plans are not open to new providers, or reimbursement rates do not meet our requirements.

​

What is a deductible?

  • A deductible is the amount you must pay out of pocket before your insurance begins to cover services. Deductibles can range from $300 to $8,000, and may vary for in-network and out-of-network services or between physical and behavioral health coverage.

 

Can I use out-of-network benefits?

  • If your plan has out-of-network benefits, you may be reimbursed for services provided by our therapists. Please check with your insurance to confirm details, as out-of-network benefits often require specific provider licensure.

 

What is the difference between Medicaid and Medicare?

  • Medicaid is a public assistance program based on income, providing coverage for low-income individuals and families.​​

  • Medicare is a federal insurance program primarily for individuals aged 65+ or with qualifying disabilities.

    • Perez Therapy does not accept Medicare.

    • Perez Therapy does not accept Medicare Advantage Plans.

 

What if I have Medicaid and a secondary insurance?

  • Medicaid is the “payor of last resort”.  So if you have a secondary insurance, Medicaid will not pay. 

  • If we are not credentialed with your secondary insurance, then neither your commercial/secondary plan nor Medicaid will pay us for your services.  Therefore, we cannot offer you admission for services, due to lack of payment.

 

Do you verify insurance coverage?

  • Yes. For Medicaid, we can verify eligibility during referral and on a daily basis.

  • If we cannot verify your insurance with your legal name and date of birth, we will request your social security number.

  • For commercial insurance, we’ll verify and follow up within 1 to 2 business days. Please email your insurance card to info@pereztherapyllc.com.

 

Medicaid-Specific Policies

  • You must have Philadelphia County Medicaid (CBH) to receive services.  You cannot have Medicaid coverage in another county or state.

  • Clients cannot have secondary insurance if using Medicaid benefits.

  • CBH client eligibility is verified daily through the Pennsylvania Promise system. Proof of eligibility is uploaded to your client record.

​

Scheduling FAQs

When is my appointment?

  • For security, we do not provide appointment information over the phone. Please confirm your appointment details via email or text. Ensure your contact information on file is up-to-date.

 

Do you have a waitlist?

  • Currently, we do not have a waitlist. Most new clients can schedule an intake appointment within a few days.

  • However, if you want to see a specific therapist, they may not be open for new clients, or they may have a waitlist.  We cannot determine the length of time that a therapist will have a waitlist, so if you need to speak with someone quickly, we will get you assigned to a qualified provider as soon as possible.

 

\What are your self-pay rates?

  • Rates vary by therapist and service type:

    • Individual Therapy: $120-$180 per session (50 to 53 minutes)

    • Couples Therapy: $120-$200 per session (60 minutes)

    • Family Therapy: $120-$200 per session (60 minutes)

  • We can confirm specific rates during your initial consultation.

​

Policies and Procedures FAQs

How do I contact you?

 

What should I do if I miss a call from you?

  • If you missed a call, check your text messages, voicemail or email. We respond to inquiries promptly and will follow up as needed.

 

What information is needed for a prescreening?

​

Jobs & Hiring FAQs

Do you have open positions?

Do you accept interns?

  • Not yet! We do hope to create intern positions at Perez Therapy.  More information to come in the next few months.​​​​​​​

Contact Us &
Let's Get Started

Let us know how we can help you.

Perez Therpy, LLC Logo

Ready to Get Started?

Have a Question? Contact Us.

bottom of page