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For therapy to work, you must feel free to disclose difficult and sometimes painful information. If a therapist is part of an insurance network (PPO or MCP), that therapist is obligated to share all details with representatives of the insurance company when requested. This is one of the primary reasons we choose to remain out-of-network.
All managed care plans (MCPs) involve direct management by the plan's case managers. If you access therapy through your MCP, it makes it necessary for your therapist to disclose anything and everything related to your case to your MCP.
This information is used by the MCP for determining benefits, which they allocate at their own discretion. This impacts your right of confidentiality, and it is possible that your information will be stored in a computer system, which could be accessed by anyone.
Some insurance companies want to completely control the therapy process. In this scenario, they will dictate the specific treatment plan that the therapist is to follow. Because therapy is highly personal and there is no "one size fits all" approach, the therapy process is often very subjective and insurance company interference can become anti-therapeutic. Many plans will determine when it is time to terminate treatment without regard to whether the client continues to be in distress.
Another way in which a lack of privacy can be detrimental is that FBI and other law enforcement officials can also access your insurance information at any time. This information could be used to your disadvantage should a legal problem arise.
Furthermore, this lack of confidentiality could impact minor children even more negatively. Should they ever desire to apply for certain jobs or educational programs, such as law enforcement or military, the information in their insurance files could be used against them.
By remaining an out-of-network therapy practice, Keystone Counseling is not obligated to share any information with any insurance company. Should you choose to file for reimbursement through your insurance, Keystone Counseling must only provide an official diagnosis code (such as "V61.10 - Partner Relational Problem"). We are not obligated to nor do we share any other information regarding your sessions.