In-Network Health Insurance

How VA Community Care Works

Community Care services generally require an authorization from the VA before treatment begins. Authorizations are issued by the VA and typically specify the number of approved sessions, dates of service, and the clinical concern being addressed. While I am a participating Community Care provider, authorization decisions, extensions of care, and eligibility determinations are made by the VA rather than by my practice. Veterans are responsible for coordinating with their VA care team regarding referrals and ongoing authorization status. Services provided outside an active authorization period may not be covered by the VA and could become the veteran's financial responsibility.

VA CCN referrals will be accepted contingent upon authorization, clinical appropriateness, and availability.

Out-of-Network and Self-pay

Some clients choose to use self-pay rather than insurance for a variety of personal, practical, or privacy-related reasons. Self-pay can offer greater flexibility in treatment planning, confidentiality and privacy, session frequency, and documentation requirements, while also avoiding the need for a mental health diagnosis or insurance utilization review to support care. For clients who wish to pursue out-of-network reimbursement, superbills can be provided for possible submission to their insurance carrier, though reimbursement is not guaranteed and varies by plan.