Insurance & Fees
Out of Network
I do not participate in insurance networks at this time, and instead use a fee for service model. Payment is requested at the time of service. Many health plans have out of network benefits that may allow you to submit receipts for reimbursement. You may also be able to pay for services using a Flexible Spending Account (FSA) or Health Savings Account (HSA). A receipt with appropriate billing codes (e.g., a Superbill) can be provided so that you can seek reimbursement from your insurance company. Please request the superbill at the time you make your initial appointment. For ongoing therapy clients, a Superbill can be provided once per month.
To find out about your out of network benefits, call the number on the back of your insurance card, and ask the following questions:
Do I have out-of-network benefits for outpatient mental health?
What is my out-of-network deductible for outpatient mental health visits? Has any amount of my deductible been met this year? Your deductible is the amount that you have to pay out of pocket before your insurance begins to pay.
What is my out-of-network coinsurance for outpatient mental health? Co-insurance is the amount that you pay out of pocket, per service, after your deductible has been met.
Do I need a referral from an in-network provider or primary care physician to see someone out-of-network?
What is the rate covered by my insurance for these CPT codes? 90791 (new patient evaluation), 90834 (45 minute psychotherapy), 90837 (60 minute psychotherapy), 90847 (family therapy with patient), 90846 (family therapy without patient)
Do I have coverage for tele-health visits?
How do I submit claims for out-of-network reimbursements?
If there are no in-network providers available to treat your child (for example, if no in-network providers will treat a child under 5 years old), some insurance plans may allow you to get reimbursement for seeing an out-of-network provider, even if your plan does not have out-of-network benefits. Please call your insurance company to ask about this possibility.
Fees
My hourly rate is $200/hour. I review and modify my rates annually. Clients are notified of any change in rate 30 days prior to it taking effect.
Psychotherapy: $250 for first session (75 minutes), $200 for all following sessions (50 minutes)
Assessment: Billed hourly at $200/hour; review of measures completed and report writing is billed at the same rate.
Parent consultation: $200 (50 minutes)
Consultation for Professionals: Please contact me to discuss your needs.
No Surprises Act
You have the right to a Good Faith Estimate (GFE) of what your services may cost. Under the law, health care providers are required to give patients who don't have insurance, or are not using insurance an estimate of the bill for medical treatment.
You have the right to receive a GFE for the total expected cost of any non-emergency items or services.
I will give you a GFE in writing at least 1 business day before your medical service. You can also ask me, or any other provider you choose, for a GFE before you schedule a service.
If you receive a bill that is at least $400 more than your GFE, you can dispute the bill.
Make sure to save a copy or picture of your GFE. For questions or more information about your right to a GFE, visit the link below or call (800) 985-3059.