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Fees & Insurance

Current Fee

My current fee for a 50-minute individual therapy session is $175.  Longer sessions will be pro-rated.  Cancellations require 48 hours’ notice to avoid being charged.  I accept cash (in person only), checks, major credit/debit cards and HSA/FSA debit cards.

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Insurance

I do not accept insurance and am considered an out-of-network (OON) provider for most insurance plans.  I can provide you with a statement to submit to your insurance company for reimbursement if you would like.  You are responsible for communicating with your insurance company and understanding your plan's benefits and limitations.  Here are some questions you may want to ask your insurance company:

  • Do I have OON mental health benefits?

  • What is my OON deductible?

  • Do I have a co-pay or co-insurance, and how much is it?

  • How can I request OON reimbursement?

  • Is there a limit to how many therapy sessions my plan covers in general or per year, and what is it?

  • What is the policy year (for example, January 1st to December 31st)?

  • Does my plan cover telemental health (ie., virtual therapy)?  Are reimbursement rates comparable to in person services?

  • What types of services (called CPT codes*) are covered and not covered?  What are the OON reimbursement rates?

  • Are there specific diagnoses (called ICD-10 codes) that are not covered, and what are they?

  • Do I need pre-authorization for psychotherapy or a referral from my Primary Care Provider?

 

*I will be happy to provide you with a list of CPT codes that I might use for your therapy so that you can ask your insurance company about their reimbursement rates.

Medicare, Medicaid & HMOs

Medicare, Medicaid and HMOs typically do not reimburse for out-of-network providers.  If you are a Medicare beneficiary, Medicare requires you to sign a private contract with me indicating that you are aware Medicare will not pay for or reimburse you for these services.  Please let me know if you are a Medicare recipient.

Good Faith Estimates

When you schedule an appointment with me, I will provide you with a good faith estimate of your fees. You can also request a good faith estimate from me without scheduling an appointment. The following is information I am required by law to provide regarding good faith estimates:

You have the right to receive a “good faith estimate” explaining how much your medical care will cost. Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. You have the right to receive a good faith estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees. Make sure your health care provider gives you a good faith estimate in writing at least 1 business day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a good faith estimate before you schedule an item or service. If you receive a bill that is at least $400 more than your good faith estimate, you can dispute the bill. Make sure to save a copy or picture of your good faith estimate. For questions or more information about your right to a good faith estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.

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