like an in-network provider, you are still given a formal diagnosis that is put in your health record. Insurance can still place restrictions on frequencies, and determine styles of therapy. It also means the provider you have chosen is not contracted with your insurance company. Typically, you can still see a provider who is not contracted (or preferred) you just may pay more (or all) out of pocket for the freedom to choose who you like and click with to provide services. Some insurance companies allow out-of-network providers to inquire about benefits. I would also recommend that you contact your insurance plan’s member services phone number directly and inquire if you are able to work with me and to confirm benefits for out-of-network providers prior to setting up an appointment. I would like to be able to check on your behalf, but many insurance companies don’t allow for inquires from the provider and required that the client or patient contact them directly for confirmation.