Dr. Markle takes select insurance plans. If you plan to use insurance, we hope to provide some helpful information below. Fee-for-service is also available, upon request.
INSURANCE
Insurance is helpful in managing your health care. However, it does provide responsibility to understand your deductibles, copays, and out of network benefits. Anything not covered by insurance - and if denied by insurance - are patient responsibility. Everyone signs a Financial Agreement.
Patients are encouraged to call their insurance companies. Please know your benefits and what insurance will cover.
Dr. Markle cannot determine insurance coverage and reimbursement. Health insurance has become increasingly complex and changes often. We only have what insurance provides in the system. And, insurance companies may process claims differently than the estimate of benefits they provide our office. Patients will be responsible for services not covered, regardless of circumstances. Patients will be required to accept a financial agreement.
We must have your insurance benefits in writing, especially if we are unable to confirm your benefits in the insurance company’s system.
We take Medicare, Blue Cross Blue Shield, Humana, Aetna.
What to ask your insurance company
WHAT TO ASK YOUR INSURANCE: Your insurance company must inform you whether you have an outstanding deductible (which means you pay out of pocket at a contracted rate), or inform you if you have a copay or coinsurance that will be due at your office visit. Insurance must also inform you of any needs for pre-authorizations requirements before your office visit.
ASSESSMENT PROCEDURE CODES: Insurance uses procedure or CPT codes to price your claims. If you hope to use insurance for an assessment, be sure to know whether your policy covers neuropsychological and psychological assessment. CPT (procedure) codes that may be reported to insurance include: 90791, 96116, 96132, 96133, 96136, 96137.
PSYCHOTHERAPY PROCEDURE CODES: CPT (procedure) codes reported to insurance for psychotherapy and behavioral interventions primarily include 90791 (initial consultation), 90837 (weekly sessions).
OUT OF NETWORK: If you are out of network, we will provide you a SuperBill to submit to your insurance. SuperBills allow patients to get partial reimbursement from your insurance, and varies based on your insurance policy. Dr. Markle has no ability to determine out of network payments, and you must communicate directly with your insurance company.
Special notices
SPECIAL NOTICE FOR UNITED HEALTHCARE AND WELLMED MEMBERS who have UnitedHealthCare insurance:
We understand UnitedHealthCare is incorrectly informing patients that Dr. Markle is in-network.
Dr. Markle left the UnitedHealthCare network in 2025.
Please know: Dr. Markle is an out-of-network provider with both United Healthcare and WellMed.
You are welcome to get an assessment out-of-network, and we are happy to provide an estimate and submit courtesy claims for out-of-network services. However, we are unable to process in-network benefits and file claims for UnitedHealthcare and WellMed members.
NOTICE FOR BLUE CROSS BLUE SHIELD HMO MEMBERS: Please confirm with your insurance company that your behavioral health is handled by Blue Cross Blue Shield. In the state of Texas, a majority of plans are managed by third party companies.