The team at Thriveworks just completed a lot of investigation to try and determine that the reimbursement rates for Keystone Mercy (a major insurance plan in Philadelphia, PA) is paying counselors. We were shocked how difficult it was to get a clear answer, and even more shocked at how LOW the reimbursement rates are for masters-level counselors.
Their rate is a dismal $26 for a 45-minute psychotherapy session.
How any provider can afford to run a practice and accept rates this low baffles me. We often defend that most insurance companies pay fair to well. However, this insurance company may not be worth your time! After insurance credentialing and medical billing costs, not to mention one’s time and general overhead costs, there is very little (if any) financial upside for counselors, seeing clients with Keystone Mercy Insurance.