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I have heard some therapists say that insurance generally will not pay for phone therapy. I called my insurance company once and asked about this. The woman I spoke with sounded very bored and unconcerned, but she apparently pulled up some list of things covered by insurance and informed me that "phone therapy wasn't on there." I didn't trust this response as definitive.

However, when discussing this with my T I asked her why she couldn't just bill it the way she would a normal session? What's it to the insurance company if we're talking on the phone or in her office? T said her understanding was that that was how phone therapy was billed, with the same code used for a "normal" therapy session. We've gone on to have several phone sessions since then and insurance has never balked yet.

I am wondering what others have found with Ts accepting (or not accepting) insurance for phone sessions? If you've done them, how were they paid for? Have you had issues with insurance companies declining to pay even if te T was agreeable? I am wondering how this is usually billed. And if it's really true that insurance companies don't care and Ts use the same codes when they bill either way. . . why do some Ts who offer distance therapy decline to take insurance and then say that insurance wouldn't cover it anyway?
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I just found this thread and realized I have never questioned if insurance would pay for phone sessions because in my case they always have. Perhaps my T's office simply coded it as a normal session and the insurance company didn't know otherwise.

I wonder how a skype session would be coded? It is not really just a phone session when you can see each other while you are talking. Kind of blurs the difference in my opinion.
Mine are charged as normal sessions. IT could be the area and country people are from or the specific insurance company that have different rules?

Very shortly, in the summer, I may be doing more Skype/phone therapy with an existing T as her office location is changing. Not looking forward to it because I like in person.
Hi people,

Thanks, it is good to hear from a few others that your Ts have billed phone sessions this way-- using the normal codes. Since I have heard it thrown out by a couple other therapists "oh, insurance won't cover phone sessions" I have worried a little that perhaps T is getting this wrong, and we are getting away with something, but might not be able to forever, lol.

Catalyst, hope switching over to more phone sessions goes okay for you. I prefer in person too, but have had to do therapy via phone during a few times when I've been too unwell to drive to T's office, or occasionally when I haven't been able to get an evening appointment or secure babysitting. It was a little awkward at first, but I think it also has it's benefits, because you learn to be very attuned to the nuances of a person's voice that way, when it's all you have to go on. Hmm, I think I read a poem about that somewhere. Will send it to you if I can find it.
At present, there is no code for a phone or SKYPE session on the Health Insurance Claim form (1500) used by insurance companies for reimbursement. The only code that exists is "11" which is an office visit. Doing a phone or SKYPE session and using the office visit code would be considered fraud. Also, with phone and SKYPE sessions, your therapist cannot ensure confidentiality like he/she could if you were meeting at their office. I would be cautious about seeing a therapist who would engage in fraudulant practices with insurances and may not be mindful to issues around confidentiality and privacy. I'd also be very concerned about a therapist who does exclusively phone or SKYPE sessions since they are unable to verify identity and this could lead to extreme levels of fraud (e.g. identity theft).

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