Fees & Right to a Good Faith Estimate

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Initial Consultation: Free 15 minutes

Intake/evaluation: $150 for 75 minutes

Individual therapy session: $130 for 55 minutes

I am credentialed with a few insurances: Optum, Aetna, Cigna.

I accept credit/debit card (American express, VISA, Mastercard, Discover) payment as well as HSA/FSA.

Cancellation Policy

I understand the unexpected happens in life. Our time together is valuable and I ask that you do your best to contact me within 24 hours before your appointment if you need to cancel. 

If you need to cancel less than 24 hours ahead of time and we are able to reschedule you in the same week there will not be a fee. However, if we can't find a time that works for both of us or you simply don't show for your appointment time there will be a $75 cancellation fee. 

If you decide to use your out of network benefits, you will still be responsible for payment at time of service. I can provide you with a monthly statement called a superbill that you can submit to your insurance company in an attempt to receive reimbursement at their out-of-network rate. I cannot guarantee reimbursement and do not directly communicate with insurance on behalf of clients utilizing their out-of-network benefits.
 

​Using out-of-network benefits means in order to get reimbursed some of your personal information will be shared with your insurance company. I will need to determine a clinical diagnosis and include this on the superbill. They may also request to audit your records, including therapy chart notes. 

Before submitting a claim for reimbursement, you can call your insurance company and ask them:

Do I have out-of-network mental health benefits for individual therapy?

Do I have an out-of-network deductible that needs to be met before I will see any reimbursement?

Are telehealth therapy sessions covered under my benefits?

How do I submit a claim for reimbursement?

 You have the right to receive a “Good Faith Estimate” explaining 

how much your medical 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 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.

· 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