Our team can guide you through either option to help you access the care you need.
- Services with a Clinical Trainee – Work with a highly trained graduate/postdoctoral-level clinician under the supervision of a senior licensed clinician at a reduced rate.
- Network Gap Exception Request – Ask your insurance company to cover your MPG care at your carrier's in-network rate if no comparable provider is available within your plan's network.
Connect with Admin Team
Initial phone call/emails with admin team, receive referral to Patient Care Liaison.
Patient Care Liaison Referral
Schedule Meeting with Patient Care Liaison, Create Sheer Health Account, Provide Insurance Information.
Insurance Benefit Report
Alternative Options to OON Benefits
Review Comprehensive Benefit Report with Patient Care Liaison. If your plan does not have out-of-network benefits or a high deductible/out-of-pocket maximum: Receive Services with MPG Trainee (Services at Discounted rate) or Receive Network Gap Exception.
Discounted Services with MPG Trainee
Discounted Services with MPG Trainee under Supervision of Senior Licensed Clinician (Services at Discounted rate)
Schedule Intake for Services
Schedule services with MPG. Payment is made directly to MPG at the time of service.
Participate in Ongoing Services with Assigned Clinician
Participate in ongoing services with MPG. Payment is made directly to MPG at the time of service.
Identify appropriate service and service provider
Network Gap Exception
Obtain Insurance Authorization that allows for reimbursment at the in-newtork rate.
Schedule Intake for Services
Schedule services with MPG. Payment is made directly to MPG at the time of service.
Participate in Ongoing Services with Assigned Clinician
Participate in ongoing services with MPG. Payment is made directly to MPG at the time of service.
Superbill
MPG will provide a superbill via email at the end of each month. The superbill contains all the information needed by your insurance company to process your claim.
Claim
Submit superbill to insurance provider via your online portal.
Reimbursement
Insurance will review the claim and provide reimbursement based on Network Gap Exception.
