Insurance and Payment
I am currently in-network with Aetna and Optum insurances.
If you do not have Aetna or Optum and would still like to work with me: I make submitting claims to your insurance provider as simple as possible by providing all the necessary paperwork, including receipts and diagnosis codes, on a monthly basis.
Reimbursement is very common if you have out-of-network mental health benefits and most patients are reimbursed 50 – 80% of the fee for sessions. It is helpful to call your individual insurance provider to determine the level of coverage in advance. I recommend asking the following questions to help determine your benefits:
Does my health insurance plan include mental health benefits? Can I see an out-of-network provider?
Do I have a deductible? If so, what is it and have I met it yet?
Does my plan limit how many sessions I can have per calendar year? If so, how many sessions will be covered?
Are the following services covered? (Below are the Current Procedural Terminology or CPT codes commonly used for mental health services):
Intake appointment: CPT code, 90791
Individual sessions (45 minutes): CPT code, 90834
Individual sessions (60 minutes): CPT code, 90837
I accept all major credit cards including credit, debit, HSA, and FSA cards. Payment is always processed through your online client portal which is HIPAA-secure and keeps your information safe. Upon scheduling an appointment, you will receive paperwork through this client portal, including a credit card authorization form which is required before a session can take place. Payments are processed the evening of your appointment.
My session fees are $300 for the initial intake session (60 minutes) and $250 for individual sessions (45 minutes). I strive to make therapy affordable and accessible and so offer a limited amount of sessions on a sliding scale.
“Right to Receive a Good Faith Estimate of Expected Charges”
Under the No Surprises Act
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost
Under the law, health care 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 one business day before your medical service or item. You can also ask your health care 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 HHS at 800-985-3059.