Fees

Initial Intake Session (90-110 minutes): $540

50-minute Psychotherapy Session: $270

Private Pay & Out-of-Network (OON) Insurance Reimbursement

I do not work directly with any insurance company, which means that I am considered an out-of-network (OON) provider. I also am not a Medicare/Medicaid provider and if you work with me, you cannot submit claims to Medicare/Medicaid for reimbursement.

I can provide you a monthly “superbill” that you can submit to your insurance company for partial reimbursement of the cost of OON therapy, depending on your insurance benefits.

If you would like to use any OON insurance benefits, it is your responsibility to confirm information about reimbursement with your insurance company. Below are some questions you might consider asking your insurance company.

Questions to Ask Your Insurance Company

  1. Do I have OON benefits for outpatient mental health services?

  2. What is the percentage rate or dollar amount reimbursement for an Intake session (CPT code 90791) and a 50-minute Psychotherapy session (CPT code 90834)? Will this change after I’ve met my annual deductible (if your insurance plan includes a deductible)?

  3. Is telehealth therapy covered by OON benefits?

  4. How do I submit a claim for reimbursement? Is there a time limit for when I need to submit claims?

  5. Do I need a referral to see an OON provider?

Cancellation and No-Show Policy

You may cancel your appointment up to 48 hours before it is scheduled to begin. If you cancel late or do not show up to your appointment for any reason, you will be expected to pay the full session fee. Insurance companies typically do not reimburse for cancellation or no-show fees.

To cancel or reschedule your appointment, you may email me or leave a voicemail (which is time-stamped).

Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your care will cost.

Under the “No Surprises Act”, 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. In my practice, Good Faith Estimates are provided upon scheduling an intake appointment or upon request.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.

Make sure your healthcare 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 the No Surprises Help Desk at 1-800-985-3059.

Notice of Privacy Practices

You may download a copy of my privacy practices here.