Fees
and
Insurance
In-network insurance plans accepted:
* BlueCross BlueShield
* Aetna
* Anthem
* Medica
* Health EZ / America’s PPO
* Preferred One
* Ucare
*United Healthcare / United Behavioral Health
* Medical Assistance
* Cigna
At this time, I am an in network provider for the above listed insurance plans. I am an out of network provider for all other insurance plans (see more information under out of network plans). I am also required by law and insurance companies to provide a valid mental health diagnosis in order for sessions to be covered by your plan. If you would prefer to not use a diagnosis please consider private pay options below.
* Please note, I am unable to bill Medicare at this time for any services.
It is always best to know your covered insurance benefits before you start therapy. I have a list of insurance verification questions as a guide to help you learn more upon request.
Fees and Payment
What is the cost per session?
– 55 minute intake/ diagnostic assessment: $225
– 55 minute individual therapy session: $175
-45 minute individual therapy session: $160
* Please note, each insurance plan has a separate contracted rate for their providers. The cost will be no more than the fees listed here.
* These rates are the same for out of network and private pay fees.
How do I pay for sessions?
– cash (if in person)
– check
– credit card (Mastercard, Amex, Visa, Discover)
– HSA/ FSA accounts
* I require all clients to have a valid credit card and verification form on file even if using a different payment method. (does not apply to clients covered under Medicaid/ Medical Assistance insurance plans)
Out of Network Benefits – Private Pay Options
What does out of network mean and how does it work?
Using out of network benefits is similar to using in network benefits. It will allow you to see the therapist of your choice. It will also allow you some reimbursement for your sessions. (The amount of reimbursement varies plan to plan – please ask about my out of network verification questions).
With this option, you will pay my full fee upfront and I will provide you with a monthly itemized receipt (superbill) for all sessions.
* I am required to give a valid mental health diagnosis for out of network benefits coverage.
Private Pay – Self Pay Option:
This is the best option if you are looking for the most privacy and choice in therapist/ clinic. You will also not have to worry about the confusion of benefits or changes in health plans or coverage.
If you choose private pay (out of pocket), you will pay my full fee per session. I do require a credit card and verification form on file even if paying by a different method.
Private pay clients will also receive a required estimate of anticipated fees for services provided. This is known as the Good Faith Estimate and was established under the No Surprises Act. It is required for medical providers including mental health therapists. It is required for clients who do not have insurance or that opt out of using their insurance benefits.
* You may receive a Good Faith estimate for total anticipated costs for any non-emergency services. (This will include outlined services based on weekly sessions during a 12 month period: 50 total to account for missed sessions or vacation).
* You have the right to receive the Good Faith estimate before scheduling any session. A client signature is required and you should keep a copy or picture of the estimate.
* If you receive a bill which is more than four hundred dollars more than your Good Faith Estimate you can dispute it.
To learn more please visit:
https://www.cms.gov/nosurprises/consumers
Ready to Connect? . . .
I’m happy to answer any additional questions you might have.