Individual therapy services 

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Initial Assessment Session - $200

Individual Psychotherapy - $155 per 53 minute session

 

Pay By: American Express, Cash, Check, Discover, Mastercard, Visa

Accepted Insurance Plans: Highmark BCBS, UPMC   

 

 

How to Pay: Insurance or Out of Pocket?

There a several advantages to paying out of pocket. Paying for psychotherapy out of pocket minimizes the exposure of your protected health information (PHI) as we will not be required to disclose any of your information to an insurance company and all records remain with the therapist only. Using insurance also requires a psychiatric diagnosis in order for the provider to justify the medical necessity for the services provided. Once such diagnosis code is recorded by the insurance, it becomes part of your health care record.

Self-Pay does not require a psychiatric diagnoses or diagnostic code.

 

Self Pay and "Out-Of-Network" Health Insurance

Many people choose to pay out-of-pocket for therapy sessions. Some make this decision when a provider they wish to work with does not accept their insurance plan. Others choose to self-pay because they prefer to have more privacy.  If you choose to self-pay for your treatment, you may be able to receive reimbursement from your insurance provider if your insurance plan offers out-of-network benefits for outpatient mental health services. As a licensed psychologist, my professional services qualify for reimbursement under most insurance plans that offer out-of-network benefits. I offer courtesy billing for clients who choose to self-pay. I will either submit your claims directly to your insurance company on your behalf, or I will provide you with all of the paperwork you need to file claims with your insurance provider.

 

If you are interested in self-pay and would like to find out about reimbursement, I encourage you to confirm your out-of-network benefits with your insurance provider. If you would like to determine whether your insurance plan offers out-of-network benefits, and whether you can receive reimbursement from your insurance provider for my services, you may find it helpful to ask the following questions:

 

​Do I have out-of-network outpatient mental health (or behavioral health) benefits?

What is my coverage for outpatient psychotherapy? (commonly used CPT codes include 90791, 90837 & 90834)

What is my deductible, and has it been met for the year?

If I still have a deductible for the year, how much will I owe per therapy session until I meet my deductible?

What is the percentage of reimbursement for an out-of-network mental health provider?

Is approval/pre-authorization required from my primary care physician for mental health services?

Is there a limit to the number of psychotherapy sessions that are covered per year?

 

 

Good Faith Estimate

 

 

Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required 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” explaining how much your medical care will cost.

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.

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For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises