Using Mentaya for Out-of-Network Insurance Reimbursement

Hello Calm is an out-of-network therapy practice, which means sessions are paid out-of-pocket. Some clients choose to use their out-of-network insurance benefits to receive partial reimbursement after their sessions.

We partner with Mentaya, a service that helps handle the insurance paperwork for you.

Below are answers to common questions about how this works.

  • Mentaya is a service that submits insurance claims on your behalf so you may be reimbursed for therapy sessions.

    Instead of filling out insurance forms yourself, Mentaya handles the claim submission and communication with your insurance company.

  • The process is simple:

    1. You pay Hello Calm for your session as usual.

    2. Mentaya submits a claim to your insurance company for a fee of $9.25 per session.

    3. If your insurance plan reimburses out-of-network therapy, the insurance company sends reimbursement directly to you.

  • That depends on your insurance plan.

    Some plans include out-of-network mental health benefits, while others do not.

    If your plan includes out-of-network coverage, insurance may reimburse a percentage of the session after your deductible has been met.

    Our admin team is happy to check on your behalf. If you’d prefer, you can also check for yourself by clicking here.

  • Yes.

    Hello Calm does not bill insurance directly, so sessions are paid out-of-pocket at the time of your appointment.

    If your insurance plan offers out-of-network reimbursement, your insurance company may send you a partial reimbursement later.

  • Mentaya charges a 5% fee per session for handling the claim submission.

    For example:

    • Session fee: $185

    • Mentaya fee: $9.25

    Mentaya only charges this fee if a claim is submitted.

  • No.

    Insurance reimbursement depends entirely on your individual insurance plan.

    Some plans reimburse a portion of therapy sessions, while others do not offer out-of-network coverage.

    Mentaya helps submit the claims, but they cannot guarantee reimbursement.

  • No.

    Mentaya is optional.

    You are always welcome to submit claims to your insurance company yourself if you prefer.