The fee is $145 per 50 minute session for individuals, $215 per 90 minute session for couples.Consistently insurance plans do not cover 90 minute couples counseling and I only accept self payment for those services.
INSURANCE
I am currently accepting the following insurance:
Aetna Anthem Blue Cross Blue Shield CIGNA Magellan/Molina Optima Optum/United Behavioral Health Tricare
If your insurance is not listed above, you may still be able to use your health insurance to offset the cost of treatment. Most mental health insurance policies have provisions allowing you to see out-of-network providers. It is important to know your mental health benefits. I advise anyone with insurance benefits to call the number on the back of their insurance card for clarification of benefits, or to carefully read the section in your insurance policy that describes mental health services. I will fill out forms and provide you with whatever assistance I can in helping you receive the benefits to which you are entitled; however, you (not your insurance company) are responsible for the payment of counseling fees.
Managed health care plans (HMO’s and PPO’s) often require authorization before they provide reimbursement for mental health services. These plans are often limited to short-term treatment approaches. The approach I use is generally short-term in nature, but it may become necessary to seek approval for more therapy after a certain number of sessions. Some managed care plans prohibit me from providing services once a client’s benefit is exhausted. If this is the case, I will do my best to find you another provider to continue psychotherapy. You should also be aware that most insurance companies require you to authorize me to provide them with a clinical diagnosis. Sometimes I have to provide additional clinical information such as treatment plans, summaries or copies of the entire record (in rare cases). This information will become part of the insurance company files and will probably be stored in a computer. Though all insurance companies claim to keep such information confidential, I have no control over what they do with it once it is in their hands. It is important to remember that you always have the right to pay for my services yourself and avoid the problems described above.
NO SURPRISE ACT Good Faith Estimate Effective January 1, 2022, a ruling went into effect called the "No Surprises Act" which requires practitioners to provide a "Good Faith Estimate" about out-of-network care. The Good Faith Estimate works to show the cost of items and services that are reasonably expected for your health care needs for an item or service, a diagnosis, and a reason for therapy. The estimate is based on information known at the time the estimate was created. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur and will be provided a new "Good Faith Estimate" should this occur. If this happens, federal law allows you to dispute (appeal) the bill if you and your therapist have not previously talked about the change and you have not been given an updated good faith estimate. Under Section 2799B-6 of the Public Health Service Act (PHSA), health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request, or at the time of scheduling health care items and services to receive a "Good Faith Estimate" of expected charges. Note: The PHSA and GFE 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: Practitioners are required to provide a good faith estimate of expected charges for a scheduled or requested service, including items or services that are reasonably expected to be provided in conjunction with such scheduled or requested item or service.” That estimate must be provided within specified timeframes: If the service is scheduled at least 3 business days before the appointment date, no later than 1 business day after the date of scheduling; If the service is scheduled at least 10 business days before the appointment date, no later than 3 business days after the date of scheduling; or If the uninsured or self-pay patient requests a good faith estimate (without scheduling the service), no later than 3 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.