Jennifer Allen
Norton, M.A., LPC-S

(p)512.751.9023

13740 Research Blvd

Suite K2

Austin Tx 78750


NOW OFFERING TELEHEALTH THERAPY


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Jennifer Allen Norton, M.A., LPC-S Counselor & Therapist

(p)512.751.9023

13740 Research Blvd, Suite K2, Austin Tx 78750

Insurance Currently Accepted

Aetna   •   BCBS   •   Tricare   •   United Healthcare

Insurance & Managed Care

If you are considering using an insurance Mrs. Norton would like you to be aware of some of the complications of using a heath care benefit. Your insurance is a relationship between you and the insurance company.

*** Confidentiality Cannot Be Kept ***
*** If You Are Using Your Health Insurance For Care ***

Loss Of Confidentiality

  • Information may be reviewed by the employees of the insurance company and a separate managed care company.
  • Some employees of those companies do not have the same training in confidentiality as professionals.
  • Insurers put confidential information on computers.
  • Industry mergers allow information to change hands.
  • Insurance companies or managed care may ask for a copy of your chart, searching for pre-existing conditions, reviewing for medical necessity or auditing purposes.

Loss Of Control Of Treatment

  • Managed care companies make money by reducing treatment
  • Treatment decisions are based on formulas for average cases
  • Managed care treatment focuses on symptoms, not underlying problems
  • The managed care philosophy limits the number of sessions available for treatment as well as the provider eligible to provide the services
  • Changing insurance carriers, changing insurance companies, changing managers, company mergers or changing the contract between the insurance company can mean that the managed care entity and your therapist change, affecting whether your services will be paid.

Effects Of Psychiatric Diagnosis

  • Health insurance benefits can only be used for the treatment of an illness, requiring a diagnosis.
  • Choosing not to use health insurance benefits means you do not have to have a psychiatric diagnosis.
  • Psychiatric and substance abuse diagnosis can affect your future ability to obtain medical and life insurance.
  • Some diagnostic categories are not payable by some insurance and managed care entities.

Authorizations

  • Managed care requires the submission of treatment plans to have sessions certified.
  • Managed care requires a report about your history, lifestyle and other personal information to determine medical necessity.
  • Authorizations for sessions is not a guarantee that the services will be paid. All claims are reviewed with the terms and conditions of you policy, medical necessity, diagnosis and eligibility.
  • Authorized sessions may be subsumed under your deductible.