Insurance and Payment

I am an out of network provider. Many of my clients are reimbursed through their out of network benefits, pay with an HSA or FSA, or advocate for an in-network exception with their insurance company. Read on for more info about each of these options for how therapy might be paid for

  • Working with a provider who is not in your insurance network can increase your flexibility with choosing a provider based on specialty or goodness of fit, as opposed to being limited to your insurance network. Some services, like couple’s therapy, are also often not covered by insurance and can be particularly hard to find in-network. 

    Practicing therapy out of network allows for the provider to set a rate that is an accurate reflection of experience level and qualifications. It can also help reduce the total number of clients seen in a week for the provider. What this translates to is more personalized, targeted care for you to help ensure you meet your therapy goals.

  • Many clients pay for services with either HSA or FSA funds, which is money that is pre-tax that can be applied towards applicable health services (including psychotherapy).

  • A superbill is a document that lists information about the psychotherapy services you are receiving (e.g., billing code, diagnosis code, etc.) that allows for your insurance company to reimburse you for out of network services. There is a range of reimbursement options available depending on your plan. I have had clients receive between 40-80% reimbursement.

  • Some insurance payors are willing to cover out of network therapy services as though they are in-network. If you live in an area where in-network therapists are hard to find, or if the out of network therapist has a certain area of specialty that may be medically necessary for you, these may be factors that increase the likelihood of approval.
    I am happy to discuss this process further during our initial consultation and fill out any paperwork that may be needed.

  • You will have a credit card stored on file, which gets charged overnight on the day each appointment is held

    • Does my health insurance plan include out of network benefits for psychotherapy?

    • What percentage of each session fee will be reimbursed?

    • What is my deductible for out of network services, and how much has been met thus far? 

    • Is there a limit to the number of sessions I can be reimbursed for per year? 

    • What information must be included on the superbill for reimbursement?

    • How long does it typically take to receive reimbursement after I have submitted a superbill?

    • Do certain CPT codes or diagnoses need to be included for reimbursement?

    • What is the process for submitting a superbill (e.g., online portal, via mail)?

    • Is pre-authorization necessary for out of network psychotherapy?

Frequently Asked Questions

  • Initial Consultation: Free

    Individual: $210 per session

    Couples: $230 per session

  • I require new clients to meet for either weekly or biweekly sessions initially as we are building rapport, and establishing treatment goals. There are many factors that impact the duration of therapy. I have had some clients meet with me regularly for years, and others who wish to see me for only 3-4 sessions in order to work through something very specific. I am comfortable with both short-term and long-term arrangements.

  • I require 24 hours’ notice for cancellations to avoid being charged for the appointment. If there is a late cancellation and we can reschedule within the same week during one of my open time slots (or next week for biweekly clients), I am open to being flexible.

  • I am not paneled with any insurance companies. I am an out of network provider, which means that many of my clients are reimbursed a portion of sessions through their out of network benefits, or apply for an in-network exception.

  • Presently, I am accepting online appointment requests only

  • If you are paying entirely out of pocket, and not using insurance benefits for therapy, we can work together without a diagnosis. If insurance is involved in any capacity (including HSA/FSA), we will assess during our first session for an applicable diagnosis.

  • The short answer is yes. The longer answer is that in my early career, the majority of my clients were women. A common refrain I would hear is that my female clients were going home to their male partners, and teaching them the skills they were learning in therapy - rather than the male partner just attending therapy himself. These experiences led to me wanting to specialize in working with men. That said, I have experience with clients across the gender spectrum, and am open to everybody.

Questions?

Still have a question? Feel free to get in touch.

Contact ME