What the worksheet asks you to collect
- Plan name, member ID location, deductible status, copay, coinsurance, and whether mental-health visits have a separate benefit line
- In-network and out-of-network rules, reimbursement form requirements, prior authorization questions, and whether telehealth is treated differently
- Employer EAP phone number or portal, number of sessions if offered, confidentiality language, and referral steps
- Sliding-scale, community clinic, training clinic, support group, and group therapy leads to verify directly
- Questions for the clinician or clinic: fees, cancellation policy, superbills, payment timing, session length, and what happens if coverage changes