Tele-Health Video Conference Sessions

I have switched to doing HIPAA (Health Insurance Portability and Accountability Act of 1996 and the Privacy Rule) compliant Tele-Health Video conferencing or phone call sessions for mental health therapy due to the Covid-19 pandemic and need to do social distancing for everyone’s safety.

These may occur through a HIPAA compliant video conferencing format I use ( or a regular phone call.

According to most insurance providers, these sessions will be covered by your health insurance in the same way, as face-to-face sessions.

Some insurance policies have a Tele-Health policy and others don’t, but due to the Covid-19 pandemic, if your insurance covers psychotherapy or behavioral health, it will likely be covered.

If you have any questions contact your Healthcare Insurance Provider for more details.

I will need to get your Health Insurance information by phone, text or e-mail that includes: Name of Health Insurance State issued in, Member ID number, Group number, provider contact phone number.

If you have a deductible or copay you are still responsible for your part and payment is due at time of service by credit card or Health Savings or Flex Spending Account cards.

If, you have been seen before, I will only need to update your healthcare insurance information and contact information.

I will also send you an Informed Consent Notice that you read and agree to the following:

1. You are consenting to engage in therapy with me.
2. You are informed that our therapy sessions are HIPAA compliant,
3. You are giving me permission to bill your insurance for your therapy sessions
at the insurance rate your insurance pays.
4. You are responsible for any deductible amount, co-insurance amount or copay amount as part of the terms of your insurance policy. It is your responsibility to know what your insurance pays and doesn’t pay.
5, You agree that if you don’t have health insurance or are paying privately you are responsible for payment of our agreed upon amount.

If you have any questions regarding anything listed above please contact me at 734-645-5349.

M. Douglas Evans