My practice is entirely private pay with the exception of Medicare assignment.
Since I no longer accept insurance, I’ve slightly lowered my self-pay fees in order to make my services relatively more affordable. The fee for an initial one hour consultation is now $175. Fees for subsequent 45 minute therapy sessions are $150. For certain problems, 30 minute sessions may be appropriate for $80. Fees for psycho-educational testing for learning disabilities, gifted, or accommodations in school or SAT/ACTs, autism spectrum disorder, and AD(H)D are listed in the Evaluations page. Fees are due at the time of service paid by cash, check, Visa or Mastercard.
Using your out-of-network benefits
You’ll be required to pay my fee when services are rendered, but you may be eligible for partial insurance reimbursement if you have out-of-network mental health benefits. Almost all BC/BS PPO and Blue Options plans have these benefits. (Educational evaluations are not covered by any insurance company). I’ll provide all the paperwork you need to file these claims. To determine your benefits, call your insurance company and ask the following questions:
1. Do I have out-of-network outpatient mental health benefits?
2. What is the out-of-network deductible I must satisfy prior to receiving reimbursement?
3. What is the percentage of the doctor’s fee that will be reimbursed? Understand that your reimbursement will not likely be based on my fee, but rather on a fee established by the insurance company called “usually, customary & reasonable” (UCR). This fee is established by insurance companies and approximates the Medicare fee schedule.
Patients may be charged a fee for appointments not cancelled within 24 hours of the appointment time. Exceptions are made for emergencies or events out of a patient’s control.