Fees & Insurance
Cost:
$195 for the initial session
$175 per session thereafter
Cash, check and all major credit cards accepted. I have also successfully accepted payment from flexible spending accounts and health savings accounts.
Some advantages of not using your insurance and paying out of pocket include being able to see the provider you want, not having to prove “medical necessity” and not having a formal diagnosis sent to insurance companies.
It is also possible that if you have insurance that I am not in-network with, they may still pay for some of the counseling. Call your insurance provider to find out and see below for questions to ask.
Insurance:
I am in-network with PacificSource and Providence and will bill them for you.
Note to Nike Employees: Nike employees can now visit any provider at the in-network benefit level, regardless of whether your provider is considered in-network with United Healthcare. I can bill your insurance for you and the fee should be the same as in-network providers.
Note about EMDR or Accelerated Resolution Intensives: Please be aware that even if I am in-network with your insurance company, they will not pay for “intensives”. This option is cash-pay only. Intensives can jump start your healing process and keep you from having to come in week after week to see the same progress that can be done in a block of time instead, which may ultimately save you money. Accelerate your journey. Ask me about doing an EMDR intensive or an intensive with Accelerated Resolution Therapy.
Out-of-network:
If you don’t have PacificSource, Providence or Aetna insurance, then I am an out-of-network provider for you. I can provide you with a superbill (similar to a receipt) upon request but I do not do the billing for you. You may be able to submit the superbill to your insurance for potential reimbursement on some or part of the cost of our sessions. I cannot guarantee reimbursement. To find out if your plan will help you cover therapy costs, you can call the number on the back of your insurance card.
Some good questions to ask are:
Does my plan include out-of-network benefits for outpatient behavior and mental health services?
Is there a deductible I have to meet before you start to reimburse me?
How many sessions per year does my health insurance cover?
What percentage of the fee am I expected to cover?
Do I need a referral or preauthorization to receive services?
Are the following CPT billing codes for psychotherapy sessions covered?
90791 (Initial session/intake assessment/diagnostic evaluation)
90837 (53 minute individual therapy session)
90834 (45 minute individual therapy session)
How do I submit superbills for reimbursement? (often this can be done via their website. You can also enlist the help of Reimbursify)
Good Faith Estimate Notice
The following is a notice about my obligations to clients under the Federal No Surprises Act.
Under the law, health care providers need to give clients who don't have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.
You can ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule a services, or at any time during treatment.
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 photo of your Good Faith Estimate.
For questions or more information aobut your right to a Good Faith Estimate, or how to dispute a bill, see your Estimate, or visit www.cms.gov/nosurprises.