Zencare therapists with the Private Pay Booster enabled have a fee range listed on their profile. This estimates the price of therapy after the individual receives out-of-network reimbursement from their insurance company.
Therapy-seekers enter their insurance information on the Zencare website to see their estimated out-of-network reimbursement rate. This allows therapy-seekers to approximate their out-of-pocket cost before reaching out to a therapist.
There are three places where cost estimates appear: on the Zencare search page; on provider profiles; and in the messaging tool.
Cost estimates on the search page
Here's how a therapy-seeker would use the "Check cost estimate" button when searching for a therapist.
1. The therapy-seeker uses filters to search for a therapist on Zencare. In search results, therapists with the Private Pay Booster will have the “Check cost estimate” button listed on their profile.
2. The therapy-seeker clicks "Check cost estimate" and enters their insurance information.
3. Zencare retrieves their out-of-network reimbursement estimate. A confirmation page displays their results.
4. The out-of-network cost estimate appears on the preview of the therapist profile within search results.
5. The therapy-seeker is then encouraged to reach out to the therapist (and their insurance company) for more details!
Cost estimates on Zencare profiles
Here's how a therapy-seeker would request a detailed cost estimate through a Zencare profile.
1. Therapy-seekers who submit their insurance information can see the cost estimate on therapist profiles.
2. The therapy-seeker is prompted to contact the therapist for more information about their insurance and deductible.
4. When the therapy-seeker contacts the therapist, they can opt to send insurance information.
5. When the therapist receives the initial message, they will see the Zencare user's out-of-network insurance benefits. This includes reimbursement rates, deductible information, and cost estimates.
6. The therapist sends a message to the Zencare user, explaining their deductible, benefits and out-of-pocket cost. Zencare provides a template in the messaging tool that the therapist can use. It’s important for therapists to communicate that this is an estimate. Therapy-seekers should verify coverage with their insurance company.
How Zencare calculates cost estimates
Zencare uses out-of-network reimbursement rates, session fees, and conservative estimates of allowed amounts to estimate the out-of-pocket cost.
Please note that out-of-network reimbursement rates apply to allowed amounts for the session, which will sometimes be less than the therapist's session fee.
All listed fees are estimates and do not guarantee out-of-network coverage. We recommend individuals call their insurance company to confirm coverage before booking a session.