I don't participate in insurance plans; this allows for the most freedom in providing care that focuses exclusively on my patients' needs. All of my statements are coded so that they may be submitted to insurance companies for Out-of-Network reimbursement, at the patient's discretion.
Payment is requested per session, unless other arrangements have been made in advance. My current fee is $300/session; requests for a sliding scale are determined on a case-by-case basis and dependent on financial need and availability. Initial consultations are billed at the regular session fee. Please provide 24 hours notice for cancellations; otherwise, a missed appointment will be billed at the regular session fee.
Below are the questions to ask your insurance company about reimbursement for Out-of-Network (OON) insurance reimbursement for a doctoral level psychologist. You may find it helpful to determine this coverage before contacting me for an initial consultation.
Call your insurance member’s phone number and ask if your particular coverage includes reimbursement for an Out-of-Network (OON) psychologist. If the answer is yes, then ask the following questions:
What is your Deductible?
What is the Cap? Is this a money cap or a time cap or both?
What is the calendar ‘year’ for your insurance coverage (the month in the year that your particular coverage year begins and ends)?
What does your insurance company consider a ‘reasonable and expected’ fee for the region. What is that fee based on the CPT-4 codes below.
CPT-4 90847 Family or Couples Therapy
CPT-4 90791 [Intake Evaluation – no medical services]
CPT-4 90834 [Individual Psychotherapy (45 min.) or 90837 Individual Psychotherapy (60 min or more)]