How much do sessions cost?
My fee is $300 per session and a sliding scale is available depending on session frequency.
Do you accept insurance?
I am an out-of-network provider and am not currently in-network with any insurance companies. However, many insurance plans offer out-of-network mental health benefits that may reimburse you for a portion of my fee.
Your actual cost will depend on your particular plan, including your deductible, coinsurance, and the amount your insurer allows for psychotherapy.
I am happy to help you understand your benefits and estimate what treatment may cost before we begin.
How can I find out what my insurance will cover?
You can usually obtain this information in a brief phone call to your insurance company. Call the Member Services or Behavioral Health number on the back of your insurance card and say:
"I'd like to check my out-of-network benefits for outpatient psychotherapy with a Licensed Clinical Social Worker (LCSW)."
Then ask the following questions:
Does my plan cover out-of-network outpatient psychotherapy?
What is my annual out-of-network deductible?
How much of that deductible have I already met, and when does it reset?
Once my deductible is met, what percentage of the allowed amount does my insurance reimburse?
What is the maximum allowed amount (sometimes called the recognized or usual and customary rate) for an out-of-network psychotherapy session?
Is there an out-of-network out-of-pocket maximum? If so, how much have I accumulated toward it?
Are there any restrictions, prior authorization requirements, or other conditions I should know about?
If the representative asks for a procedure code, you may provide CPT code 90834 for an individual psychotherapy session of approximately 45 minutes. Other session types or durations may require different codes.
If they request additional provider information or a diagnosis code, please contact me. Any diagnosis used for insurance purposes must be determined through an individual clinical assessment.
Once you have this information, you are welcome to share it with me. I can help you estimate your expected out-of-pocket cost, although final reimbursement amounts are determined by your insurer.
Do you handle the billing for insurance reimbursements?
Payment is made directly to me at the end of each month. I will provide you with an itemized receipt, known as a superbill, containing the information needed to submit a claim to your insurance company.
Most insurers allow you to submit claims through their website or member portal. The process is generally straightforward, and I am happy to help you understand how to do it.
Your insurance company will review the claim and reimburse you according to your plan's out-of-network benefits. Processing times vary by insurer and plan.
Can I contact you by phone or email?
You are welcome to contact me by phone or email to inquire about treatment, ask administrative questions, or arrange an appointment. If leaving a message, please include your name, telephone number, and a convenient time to reach you.
To protect your privacy and confidentiality, I do not discuss clinical matters by ordinary email or text message. These are best addressed during our sessions.
In an emergency: My practice does not provide emergency or crisis services. If you are experiencing an immediate emergency, call 911 or go to the nearest emergency department. You may also call or text 988 to reach the Suicide & Crisis Lifeline.