Fees & Insurance

 

INSURANCE

I am an in-network provider with Aetna and Blue Cross Blue Shield (with the exception of Blue Value, Blue Home, and Blue Local plans). If you are an Aetna or BCBS PPO or SHP member, I will file all claims on your behalf.   Co-payments or deductibles are due at the time of service.             

FEES

Clients who are in-network may use their insurance benefits to pay for individual therapy. In-network clients are responsible for any copay or coinsurance owed.

Clients who are out-of-network pay an out-of-pocket rate at the time of their session. If you do not have Aetna or a BCBS plan I am happy to assist you by providing a coded receipt or “superbill” that you may submit to your insurance company to seek out-of-network reimbursement.

Many insurance companies have out-of-network benefits that reimburse a percentage of the session cost. Please call your insurer to find out about your out-of-network benefits.

Please contact the office for current session rates.

Payments can be made in the form of credit or debit card. I also accept payments from cards linked to HSA or FSA accounts.

CHECKING YOUR insurance BENEFITS

Before your first session, please call your insurer to find out about your individual plan. You can learn about your benefits by asking the following questions:

 ·      Do I have mental health insurance benefits? 

·      What is my copay?  

·      Do I have a mental health deductible and has it been met?

·      How many sessions per year does my health insurance cover? 

·      Is approval required from my primary care physician?

CANCELLATION POLICY

If you do not show up for your scheduled therapy appointment and you have not notified your therapist at least 24 hours in advance, you will be required to pay a $100 cancellation fee. Insurance benefits do not cover the cost of missed appointments so the fee would be your responsibility. 

good faith estimate

If you are a private pay client, you have the right to receive a “Good Faith Estimate” explaining how much your mental health care will cost. 

The No Surprises Act requires health care providers to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. 

You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a 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 (800) 985-3059.

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