We are in network with Carefirst, Fed, Anthem, BCBS, and Blue Choice PPO, POS and most HMO plans. A full list of insurance plans we are in network with can be found on the FAQ page.
If your plan is on the list that we accept there should not be an issue, and insurance plans can be temperamental. We check all provided benefits for incoming clients but the information we receive from insurance is not always correct. So we ask all clients to confirm coverage before their first session, as well. As the insurance is beholden to you, the member. You can do this by contacting the member services number on the back of your card or checking your online member portal.
Here are the questions to ask when you call:
1. Note the date, time, and name of the representative you speak to. This can help with erroneously denied claims.
2. Ask if the practice with NPI number: 1225799653, is covered on your plan.
3. Ask about your out of pocket costs, also known as: copay, co-insurance, and deductibles for procedure codes 90791 and 90837.
4. Ask how much your deductible is and how much has been met.
5. Ask how many sessions per year your plan covers. (Some plans have maximums)
6. If you have an HMO, ask if preauthorization (e.g. preapproval, precertification) is required by your plan or primary care physician? If it is, you will need this done before your first session.
If you decide to check on the member portal:
Take a screenshot of the information you find and send it to your clincian. This will help with advocating if denied claims occur. There may not be as much detailed information on your patient portion on the member portal but it will show if we are in network.
If we are not covered on your plan, ask your member services representative the following questions:
1. Do you have out of network coverage for procedure codes 90791 and 90837?
2. If so, what is your patient portion or the reimbursement for those procedure codes.
3. Is there is a maximum number of sessions available a year?
4. Is there a preauthorization (e.g. preapproval, precertification) required by your plan or primary care physician? This will need to be completed before sessions start for reimbursement.
5. Note the date, time, and name of the representative you speak to. This can help with erroneously denied claims.
For all individual sessions with an out of network commercial insurance
We are happy to provide you with a superbill or complimentary billing for possible reimbursement. Though we provide complimentary billing to decrease the administrative burden on clients. We can not contact the insurance on your behalf when we are not in network. Practice session fees must be paid at the time services are rendered. Which would be charged to your card on file with the practice.
We are not as of 1/2026, in network with any governmental insurance. The practice owner, Asha Gray LPC. is in the process of credentialing with DC Medicaid and Medicare. This does not include commercial insurance managed care plans (MCO's). Once those plans have been approved, the website will be updated.
Dependent on your state, Medicaid will sometimes allow for a member to see an out of network provider. When there is not an in network provider available. Please check this with your plan.
We cannot see government or MCO Medicare clients at this time because we are not opted out of accepting Medicare and we are also not in network with Medicare. This is a Medicare rule that we can't work around.
Currently BCBS does not reimburse for sessions focused on couples/relationship and many sex related issues, as they are not considered medically necessary. We are always happy to provide a superbill or complimentary billing but in these cases we cannot guarantee reimbursement.
Insurance is vague in their guidelines to clinician's about what is considered couple's therapy, how it is billed, how documentation should occur to be covered, and what the focus should be. You may hear if there is an identified client then insurance can cover couples therapy. In those instances the focus of the sessions must be on one identified client, covered by the insurance, with a diagnosis that is covered, aka considered medically necessary, by an insurance plan. The other person is present to provide collateral information and or to support the identified client's treatment. So for example, the identified client is diagnosed with depression and the sessions are focused on treating that client's depression.
Partnered sessions were the focus is on topics like, but not limited to: pre-marital therapy, determining relationship fit, building better communication, opening up a relationship, managing a kink dynamic, parenting, increasing sexual satisfaction, relationship growth, etc. would be examples where the client is the couple not one individual. In that case insurance does not reimburse for those sessions as the couple, not one individual, is the identified client.
Sex therapy where the focus is on gender dysphoria, pain with sex, sexual trauma, or where there is a physical health diagnosis causing dysfunction in sexual health are often covered by insurance.
If you are unsure of whether your therapy needs would be covered by insurance please email the practice owner, Asha Gray LPC, with your questions or schedule a consultation to discuss your needs with your chosen clinician.