I do not participate in any commercial insurance plans,  but you may still receive insurance reimbursement for treatment if you have out of network benefits. 

Here’s how that works.

I collect payment from you on a monthly basis and provide you with a receipt that contains your diagnoses, treatments and costs.  You submit this receipt to your insurance company, along with an out of network reimbursement form that you obtain from them. The insurance company will then send you a check reimbursing you for my fee. The amount of reimbursement will vary depending on your plan. To determine how much you will be paying and how much your insurance will cover, it helps to know the following for your plan:

Allowed fee (also known as the reasonable and customary fee): the fee an insurance company deems is reasonable for a given medical billing (CPT) code, which is used to determine reimbursement rates. Some examples of common billing codes in psychiatry include 99204 (initial evaluation), 99213/90836 (45 minute follow up appointment), 99213/90833 (30 minute follow up appointment).

Deductible: the amount you have to pay upfront before your insurance starts reimbursing you.

Coinsurance: the percent of the allowed fee you have to contribute per appointment after meeting the deductible. Your insurance will then reimburse you the remainder up to the allowed fee. 

Out of pocket maximum: The maximum amount you need to spend in a year on the deductible and coinsurance, after which the insurance will cover 100% of the allowed fee.

Please contact the office for most current rates.

Cancellations: In the event that you miss or cancel an appointment within 24 business hours of the scheduled time, the full session fee will be charged. If we are able to reschedule for a mutually convenient time within the same calendar week, I will not charge for the missed session. Please note that insurance companies do not reimburse for missed sessions.