1. Does my plan cover behavioral health services? (e.g., mental health therapy, ABA,     
     psychological testing, etc. depending on the services you are seeking)

2. What are my individual and family deductible amounts?

3. How much of the deductible amounts remain for the year?

4. Is the deductible applicable to behavioral health appointments?

5. Are there any limitations, exclusions, etc. to behavioral health services?

6. How do I submit my claims? (Online, Fax, Mail)

7. Is there a maximum number of visits per year?

8. What percent of reimbursement is covered under my plan?

9. What is the out-of-network reimbursement rate for the specific CPT codes?

10. Is pre-authorization required for Psychological Testing (if you are seeking testing
        services)? If yes, WHAT is required for pre-authorization and where can this
        information/form be found?