|
SERVICES |
FEE |
|
Initial Evaluation |
$175 |
|
Individual Therapy Session (50 min) |
$150 |
|
Family Therapy Session (50 min) |
$150 |
|
Collateral Therapy Session (50 min) |
$150 |
|
Late Cancellation (less than 24 hours notice) |
$50 |
|
No Show |
$100 |
| OTHER SERVICES | FEE |
| Writing/Reading/Preparation of Reports, Letters, Treatment Summaries | $30 per 15 min |
| Consultation With Other Professionals, Longer Sessions, Telephone Conversations, Travel Time, etc. | $30 per 15 min |
COURT/LEGAL FEE $450 per hour. Minimum retainer of $2,000 is required to be paid no later than 1 week prior to the scheduled court date. | |
Sliding Scale
Sliding scale fees are offered in certain situations.
Payment Methods
Cash, Check, Money Order, Debit Card, Visa, Mastercard, Discover, Amex
INSURANCE
You are responsible for paying the full service fee at the time of service. However, upon request, I can provide you with a ‘Superbill’ for possible reimbursement for ‘Out of Network’ services, which you would submit to your insurance company.
Insurance Disclaimer
Submitting a mental health invoice for reimbursement carries a certain amount of risk to confidentiality and privacy. In order for you to be reimbursed through your insurance, I am required to provide a mental health diagnosis. This diagnosis becomes a part of your medical record and the insurance company’s files. I have no control over or knowledge of what insurance companies do with the information that is submitted, or who has access to this information. Also, your insurance will have some access to your treatment records to determine if the services are medically necessary. I will provide the minimum necessary information that is needed.
Please note that not all conditions are reimbursable, and submitting a ‘Superbill’ doesn’t guarantee reimbursement. It is your responsibility to check with your insurance company about whether they reimburse for ‘out of network’ services, how many sessions they cover, and the amount that can be reimbursed.
Good Faith Estimate Notice
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