Fees & Payment Structure
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Fees:
Initial brief phone consultation (15 mins): Free
Initial intake session (50-60 mins): $240
Follow-up sessions (50 mins): $200
I collect payment at the end of every session using the HIPPA protected IvyPay app. If a session is missed without notice or is canceled within 24 hours of a scheduled session, I charge the full session fee. If you have a flexible spending account, I can provide a service receipt so that you can submit for reimbursement.
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Insurance:
I do not take insurance; however, if your insurance company offers reimbursement for out-of-network behavioral health services, please contact them to find out your benefits. Below are some questions to ask your insurance provider:
Do I have out-of-network behavioral health benefits (this is typical with PPO plans)?
What is my deductible?
What percentage of the doctor's fees will the insurance company reimburse?
Is there a session limit for behavioral health services?
If your insurance company asks about specific “procedure codes” (CPT codes), I typically use: 90791 (intake visit) and 90834 (follow-up visit).
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Why see an out-of-network provider?
Flexibility: Finding a “good fit” with your therapist is an essential part of a positive therapy experience. By not limiting yourself to a list of providers issued by your insurance carrier, you widen your options for choosing a therapist who is the best fit for you.
Individualization: Insurance carriers and larger institutions typically require providers to work within the constraints of certain diagnoses and treatment plans. Working with a therapist who is out-of-network and not bound to these constraints provides an opportunity to tailor the direction and timeline of your therapy specifically to your personal needs.
Confidentiality: Seeing an out-of-network therapist and paying out of pocket means that no third party is required to be notified of a client’s decision to seek therapy. In some circumstances, including when a client holds a high-profile position in the community or works within an industry which is sensitive to employee mental health, this level of privacy is preferred or required.
No Surprises Act
By law in MA, you have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.
Under the law, health care providers need to give patients 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 health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.
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 picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.