questions and answers
Most FREQUENTLY asked
Please contact me and I will be more than happy to discuss availability. I may have some openings, or have an opening coming up. Otherwise, I'm happy to send referrals of some wonderful colleagues I'd highly recommend.
I am considered an out-of-network provider. This means that I do not accept insurance directly, and appointments are paid for by clients (private pay) with the potential of partial reimbursement through their insurance carrier.
After your payment has been received, you can request a “superbill” from me that includes details your insurance company will need to process your claim. Insurance companies vary in terms of how much they will reimburse. Check with your insurance provider about their offerings.
Questions to ask your insurance representative:
• "Does my plan include out-of-network benefits for mental health care? Specifically, for outpatient psychotherapy?”
• "Do I have a deductible for out-of-network mental health services? If yes, what is the remaining amount I will have to pay before my health plan starts to reimburse me for fees that I pay out-of-pocket?”
• “What is the maximum amount my plan will reimburse for mental health service code 90837-95 with a Psychotherapist?” If the rep does not provide a clear answer, ask: “What is the maximum allowed amount for mental health service code 90837-95 with a psychotherapist, and what percentage of the maximum allowed amount will my plan pay?” (This percentage of the maximum allowed amount is the amount you would receive as reimbursement.)
This reimbursement is not guaranteed. I would recommend connecting with insurance prior to booking to identify your out-of-network benefits, if any.
I encourage you to check out Reimbursify (http://reimbursify.com) an online service that will do your out-of-network billing for you. Reimbursify will check if your insurance company will reimburse you, and if so they will collect your invoice or super-bill and submit your claim on your behalf. The app is free to download and each claim (per session) is 2.99$. Should there be an issue with the claim, Reimbursify will work with you to resolce it, free of charge.
This is not always an uncommon experience. You can petition or appeal your claim and ask them to reconsider.
Payment is due at the beginning of session. I accept cash, check, credit and HSA cards. You will be expected to pay for any missed sessions unless you provide 24-hours advance notice of cancellation. It is important to note that insurance companies do not provide reimbursement for canceled sessions.
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 certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for the health care items and services before those items or services are provided.
You have the right to receive a good faith estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment and hospital fees.
If you schedule a health care item or service at least three business days in advance, make sure your health care provider or facility gives you a good faith estimate in writing at least one business day after scheduling. If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a good faith estimate in writing within three business days after scheduling. You can also ask any health care provider or facility for a good faith estimate before you schedule any item or service. If you do, make sure the health care provider or facility gives you a good faith estimate in writing within three business days after you ask.
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 and the bill.
For questions or more information about your right to a good faith estimate, visit cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059
