With much consideration, I decided not to participate as an in-network provider with managed care plans. Insurance companies often impose limitations to the duration and type of therapy someone can have, as well as have requirements that may cause a compromise in confidentiality (i.e., insurance companies may require detailed disclosure of specific patient information). Your care should be determined based on what you need and not be decided by insurance companies. They also may end up denying your claim and leave you with the bill anyway.