Rates & Insurance

Rates & Insurance

Rates

  • Initial Assessment and Evaluation (45 minutes) – $150.00
  • Individual Psychotherapy (45 Minutes) – $100.00
  • Individual Psychotherapy (60 Minutes) – $130.00
  • Group Therapy (60 minutes) – $40.00

Insurance

I am in-network with the following insurance plans:

  • Aetna
  • BCBS
  • Beacon Health Options
  • Cigna
  • United Healthcare/Optum/UMR

Depending on your current health insurance provider or employee benefit plan, it is possible for services to be covered in full or in part. Please contact your provider to verify how your plan compensates you for psychotherapy services.

I’d recommend asking these questions to your insurance provider to help determine your benefits:

  • Does my health insurance plan include mental health benefits?
  • Do I have a deductible? If so, what is it and have I met it yet?
  • Does my plan limit how many sessions per calendar year I can have? If so, what is the limit?
  • Do I need written approval from my primary care physician in order for services to be covered?

Find out if using Insurance or Private Pay is right for you

Payment

I accept cash, check and all major credit cards as forms of payment.

Cancellation Policy

If you are unable to attend a session, please make sure you cancel at least 24 hours beforehand. Otherwise, you will be charged a set cancellation fee.

The No Surprises Act and Your Good Faith Estimate For Health Care Services

Section 2799B-6 of the Public Health Service Act (PHSA), the “No Surprises Act,” became effective January 1, 2022. This Act requires health care providers and health care facilities to provide a “Good Faith Estimate” describing out-of-network costs for health care items and services to individuals who are not enrolled in a health insurance plan, coverage, a Federal health care program, or are not seeking to file a claim (i.e. using out-of-network benefits) with their plan or coverage. This Good Faith Estimate should be provided both orally and in writing, upon request, and/or at the time of scheduling health care items and services.

The Good Faith Estimate works to show the cost reasonably expected for your health care needs. The estimate is based on information known at the time the estimate was created; and, according to the PHSA, does not currently apply to any clients who are using insurance benefits, including “out of network benefits (i.e., submitting “superbills” to insurance for reimbursement).

Timeline requirements:

The Good Faith Estimate must be provided within specified timeframes:

  • If the service is scheduled at least three business days before the appointment date, no later than one business day after the date of scheduling
  • If the service is scheduled at least 10 business days before the appointment date, no later than three business days after the date of scheduling
  • If the uninsured or self-pay patient requests a good faith estimate (without scheduling the service), no later than three business days after the date of the request
  • A new good faith estimate must be provided, within the specified timeframes if the patient reschedules the requested item or service.

Dispute to the Good Faith Estimate

Although this Good Faith Estimate is only an estimate, and the actual items, services, and/or charges may differ from what is included in it, you have the right to challenge a bill from a provider through a Patient- Provider Dispute Resolution (PPDR) Process if the billed charges substantially exceed the expected charges in the Good Faith Estimate, in the amount of at least $400 more than this Good Faith Estimate. Make sure to keep a copy of this Good Faith Estimate in the event it is needed for dispute purposes.

You may contact the health care provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, and/or ask if there is financial assistance available.

You may also start a Patient-Provider Dispute Resolution (PPDR) process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill.

There may be a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount.

For questions or more information about your right to a Good Faith Estimate or the dispute process: www.cms.gov/nosurprises or 800-985-3059

Any Other Questions

Please contact me for any additional questions you may have. I look forward to hearing from you!

 

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