BlueCross BlueShield
For all other insurances, I will provide invoices & super bills to submit to insurance for reimbursement.
$200 (60 minutes)-THERAPY INTAKE
$160 (50 minutes)-THERAPY SESSIONS
Ask me about the sliding scale.
There are a few ways your health insurance plan will share costs with you: deductibles, co-pays, co-insurance. It is important that you understand how these will apply with various healthcare services you receive. If you have two or more insurance plans, the Coordination of Benefits is used to determine which plan pays first. Please provide both insurances so that services can be rendered appropriately.
Your health plan sets the rules: what is covered, how much coverage you have for each service and supply, which providers are "in-network" vs. "out-of-network," any special rules that restrict access to coverage, and generally what your portion of the bill will be for each service.
When a healthcare provider is out-of-network with a health plan it means they do not have an agreement with that plan. Some health insurance plans provide only limited or NO coverage when you access care from an out-of-network provider. This means the bill you receive from an out-of-network healthcare provider could be much higher than if you received that same service from an in-network provider.
What is a copay?
A fixed amount ($20, for example) you pay for a covered health care service after you've paid your deductible.
Let's say your health insurance plan's allowable cost for a doctor's office visit is $100. Your copayment for a doctor visit is $20.
If you've paid your deductible: You pay $20, usually at the time of the visit.
If you haven't met your deductible: You pay $100, the full allowable amount for the visit.
What is co-insurance?
The percentage of costs of a covered health care service you pay (20%, for example) after you've paid your deductible.
Let's say your health insurance plan's allowed amount for an office visit is $100 and your coinsurance is 20%.
If you've paid your deductible: You pay 20% of $100, or $20. The insurance company pays the rest.
If you haven't met your deductible: You pay the full allowed amount, $100.
What is a deductible?
The amount you pay for covered health care services before your insurance plan starts to pay. With a $2,000 deductible, for example, you pay the first $2,000 of covered services yourself.
After you pay your deductible, you usually pay only a copayment or coinsurance for covered services. Your insurance company pays the rest.
Generally speaking, plans with low monthly premiums have higher coinsurance, and plans with higher monthly premiums have lower coinsurance.
What does in-network mean?
If we are in network with your plan, we will submit a claim to your health insurance plan for visit charges, but depending on your specific plan, you may be responsible for copays, deductibles, and/or coinsurance.
Sometimes mental health benefits are not included in a plan, or are even covered by a different insurance than your medical benefits.
Do I need a referral?
Every plan has different requirements. Before your appointment, call the 'member number' on your insurance card and ask if you need a referral from a primary care provider before your first appointment.
If your plan requires a referral and you do not have one at the time of your visit, you may be responsible for the full cost of your visit.
Do you take out of network plans?
Out of network plans are insurance plans that the provider is not contracted with. Patients with out of network insurance are welcome to private pay for services.
If you have out of network benefits with your plan, an itemized and coded receipt can be provided upon request so that you may request reimbursement from your plan.
References: https://www.healthcare.gov/glossary/
* Basic Needs include food, housing, health care, and transportation.
** Expendable Income might mean you are able to buy coffee or tea at a shop, go to the movies or a concert, buy new clothes, books, and similar items each month, etc.
References: Worts & Cunning Apothecary
You are entitled to receive a “Good Faith Estimate” under the No Surprise Act Law, of what the charges could be for psychotherapy services provided to you. While it is not possible for a psychotherapist to know, in advance, how many psychotherapy sessions may be necessary or appropriate for a given person, this form provides an estimate of the cost of services provided. Your total cost of services will depend upon the number of psychotherapy sessions you attend, your individual circumstances, and the type and amount of services that are provided to you. This estimate is not a contract and does not obligate you to obtain any services from the provider(s) listed, nor does it include any services rendered to you that are not identified here.
This Good Faith Estimate is not intended to serve as a recommendation for treatment or a prediction that you may need to attend a specified number of psychotherapy visits. The number of visits that are appropriate in your case, and the estimated cost for those services, depends on your needs and what you agree to in consultation with your therapist. You are entitled to disagree with any recommendations made to you concerning your treatment and you may discontinue treatment at any time.