Costs/Insurance

With Insurance

We currently accept CT Medicaid (Husky), Aetna, Cigna, Anthem, Optum, and United Health Care. You are responsible for any co-pay or co-insurance amount. Please call your insurance company to verify your benefits.

When calling an insurance company to ask about copayments for mental health therapy, you can use the following script to make sure you get all the key information:

Sample Script:

Hi, my name is [Your Name], and I’m calling to check on my mental health benefits. I’d like to know what my copayment or coinsurance would be for outpatient therapy sessions.

Here’s my member ID: [Member ID].
The provider I’d be seeing is E and P Therapy and the sessions would be billed under outpatient mental health services. It would be for individual therapy (CPT code 90791 intake or 90837 60 min session). NPI: 1528631348

• Do I have mental health benefits through this plan?
  
  

• Is E and P Therapy in-network?
  
  

• What is my copay or coinsurance per session?
  
  

• Do I have a deductible to meet first? If so, how much of it has been met?
  
  

• Is pre-authorization required for outpatient mental health therapy?
  
  

• Is there a session limit per year?
  
  

Make sure to write down:

• The name of the representative you speak with

• The date and time of your call

• A reference number if they provide one

Without Insurance

If we are out of network with your insurance company, our out-of-pocket fees are as follows:
These rates are subject to change and you will be notified in advance should my rates change.

• Intake Session – $250

• Individual Therapy Sessions (1 hour) – $200

• Individual Therapy Sessions (45 minutes) – $125

• Individual Therapy Sessions (30 minutes) – $100

Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

-You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.  This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

-Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item.  You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.