Hands Holding Plant
~ We delight in the beauty of the butterfly,but rarely admit the changes it has gone through to achieve that beauty.- Maya Angelou

Rates & Insurance

Insurance & Self-Pay
 
YOU CAN USE YOUR INSURANCE TO PAY FOR OUT-OF-NETWORK THERAPY 
WHEN YOU HAVE A CLAIMS SPECIALIST ON YOUR SIDE.

So that I can offer patients the most clinically effective care that does not limit treatment and will not breach patient confidentiality, I chose to discontinue my participation on insurance panels.  
 
But this does not mean that you cannot use your insurance for treatment.  In fact, most of my patients use their insurance to cover their care.  
Even though I am no longer an in-network provider, there are PPO plans (and, in special cases, HMO plans) that allow their members to choose providers that are out-of-network.  You pay your therapist for treatment and your insurance company reimburses you for your out-of-pocket expenses.
 
Many people with such benefits make the unfortunate mistake of assuming that getting reimbursed by an insurance company is time-consuming and not worth exploring.  Often, instead of seeking out the best therapist for themselves, people agree to see clinicians contracted by their insurance company because it seems more convenient to just pay your copay and have the therapist recoup their own fee from your insurance company.
 
Thankfully, there are professional services devoted to this predicament.  Lisa Marshall, at OCAN, is one such medical billing expert with close to 20 years in the industry. Billing professionals like Lisa Marshall will work with you directly so that you can receive your out-of-network benefits without adding any undue stress or expense to the process of claims reimbursement. If you are unsure of whether or not your plan qualifies for reimbursements, she is the person who can find out. You can reach her here.
 
I can provide you with a comprehensive receipt (called a "Superbill") that you may submit to your insurance (or give to a billing professional) to seek out-of-network reimbursement. To determine whether or not you can be reimbursed through your insurance carrier, the first thing you should do is speak with Lisa Marshall (link above) or call your insurance directly. Check your coverage carefully and request detailed information on the patient-initiated claims process. Some helpful questions you can ask them:
  •  What are my mental health benefits and do they include out-of-network coverage?
  •  What is the coverage amount per therapy session so I know what my reimbursement will be?
  •  How many therapy sessions does my plan cover?
  •  Is approval required from my primary care physician to see an out-of-network provider? 
  •  How do I submit claims and how long will it take for me to be reimbursed?

When preparing Superbill receipts for insurance companies, please also be aware that clinicians are required to provide those companies with a formal psychiatric diagnosis, even if you are not struggling with mental illness or your symptoms are temporary. Diagnoses are technical terms that describe the nature of psychiatric issues and whether they are short-term or long-term problems. All diagnoses come from a book entitled the DSM-IV. Please see the document What You Should Know About Managed Care and Your Treatment” if you would like to be aware of how your PHI (personal health information) is used when you use your health insurance to pay for psychotherapy and other behavioral health care services.

 
Using your insurance to pay for behavioral health services is a personal choice.
What is most important is that you find a financially viable way to get the best treatment you can right now.  Please contact me or contact Lisa Marshall at OCAN to discuss your options.
 

 

Rates & Affordable Options

Rates for individual psychotherapy and clinical consultation vary according to the type of service and duration.
My fees for phone or office sessions range from $95 - $220 and payment is made at the time of service by cash, check or credit card (Visa, MasterCard, American Express, Discover). You can also pay with Square Wallet.

Rates for group therapy or trainings are determined by the treatment approach, the materials needed, the frequency, and the duration of the program.  

You may be able to deduct the cost of my clinical services from your taxes. Please speak with your tax advisor or accountant to see if some of my services will qualify as a tax-deductible business or medical expense.  

I offer discounted rates for advance payment of multiple sessions or temporary sliding scale fees for patients already in my care for six months in certain cases of financial/situational hardship (e.g., recent job loss, single parent family). 

I also provide a free phone consultation prior to the Initial Office Visit to insure that I am the appropriate therapist for you and your unique situation. 

 
Finding the right therapist for yourself or your loved one isn't easy.
Many people can be overwhelmed by the process of getting help at such a challenging time.
I understand this and I want to do what I can to help.

If either of us feel that I am not the right therapist for you or your loved one,
I will do my best to give you a list of appropriate referrals or suggestions within 48 hours of our conversation.

 

 
Cancellation Policy
 
In order for patients to get the most out of each and every session, I recommend that they maintain a consistent therapy schedule that is in alignment with their specific clinical needs and goals. With this in mind, it is important to remember that when one patient fails to keep an appointment or cancels without advance notice, that time slot is also lost for another patient in need. For that reason, 48 hours notice is requested to change or cancel any appointment. Without 48 hour notification, patients will be charged for the entire cost of a missed session except in the following cases:
  •  Illness
  •  Emergency 
  •  Patient attends a makeup session within 6 days of missed session (if an appointment is available).
 

 
Questions & To Schedule An Appointment

I want to do what I can to guide you or your loved one towards a happier, healthier life. If you have questions about the benefits or process of therapy, you may find the answers you seek on my Questions page.
If you are interested in setting up a phone consultation to discuss whether or not I would be the right match for your needs and goals, please get in touch with me by email here so we can set up a time to talk.
 
I look forward to speaking with you!