Direct Billing
At North Simcoe Therapy Network, we want accessing mental health support to be as simple and convenient as possible. We offer direct billing to many extended health insurance providers through TELUS Health eClaims, allowing eligible clients to have covered portions of their appointments submitted directly to their insurer.
How Direct Billing Works
When your insurance provider participates in TELUS Health eClaims and your plan allows direct billing, NSTN can submit eligible psychotherapy claims directly to your insurance provider following your appointment.
Depending on your individual plan, your insurer may cover all or a portion of your session fee. Clients are responsible for any remaining balance not covered by their insurance plan.
If direct billing is unavailable for your plan, we will provide you with a receipt that you can submit to your insurance provider for reimbursement.
Understanding Your Coverage
Insurance coverage varies between plans. Before beginning therapy, we recommend confirming:
- Whether psychotherapy is included in your benefits
- Your annual coverage amount
- Whether a deductible applies
- Which professional designations are covered
- Whether a physician’s referral is required
- Whether your plan allows direct billing through TELUS Health eClaims
It is especially important to confirm that your plan covers the professional designation of the clinician you will be seeing, such as a Registered Psychotherapist (RP) or Registered Psychotherapist (Qualifying).
NIHB & MNO Coverage
NSTN also has clinicians who are approved providers through Non-Insured Health Benefits (NIHB) and the Métis Nation of Ontario (MNO).
If you plan to access services through NIHB or MNO, please let us know when contacting the clinic so we can connect you with an appropriate provider and discuss applicable coverage requirements.
We’re Happy to Help
Insurance can sometimes be confusing. Our administrative team can help explain our direct billing process and provide the information you may need when speaking with your insurance provider.
Please note that direct billing is subject to insurer and individual plan eligibility. NSTN cannot guarantee that a claim will be accepted or that services will be covered.
Have questions about direct billing?
Contact North Simcoe Therapy Network and our team will be happy to help.