Fees

I realize that seeking services, particularly psychological assessment services, requires an investment in not only time, but money. Under the No-Surprises Act, effective 1/1/2022, Clients of mine will always know and agree to the cost of services before they begin with me (find more information about No Surprises Act here: https://www.apaservices.org/practice/legal/managed/no-surprises-act).

At this time, I do not participate in insurance, but there are a few options to mitigate the cost of services with me.

You can possibly utilize Out-of-Network insurance benefits.

You can contact your insurance company and ask if you have out-of-network mental health coverage. If you need to provide a “CPT code” or “service code, you can provide the following codes:

90791 – Psychiatric Diagnostic Evaluation
90832 – Individual Therapy (30 minutes)
90834 – Individual Therapy (45 minutes)
90837 – Individual Therapy (60 minutes)
96130 – Psychological Testing (1^st hour)
96131 – Psychological Testing (each subsequent hour)
96136 – Psychological Administration (1^st 30 minutes)
96137 – Psychological Administration (each subsequent 30-minute units)

I can provide you with a “superbill” that outlines the work that I completed for the insurance company that will have all the information they need for you to submit. The insurance company may or may not reimburse you for some of the cost, and/or they may apply the costs to your deductible. You may also want to ask the insurance company:

If your plan includes out-of-network benefits
What your deductible is
What, if any, your co-insurance payment is
How many visits or hours you may get per year
If you need authorization for your visits
How to submit the superbill, once I provide that to you.

You can apply for a sliding scale adjustment to your fee based on your/your family’s annual income.

The Sliding Fee Discount Program will be offered to all patients with annual incomes at or below 200 percent of the most current Federal Poverty Guidelines (FPG). Dignity and confidentiality will be respected for all who seek and/or are provided mental health care services.

You can request information and an application for sliding scale consideration to minimize the financial impact on your family. In order to complete the application, you must supply at least 2 forms of identification and proof of income (i.e., W-2) for all members of your household. A discount of up to 25% may be offered.

Sliding scale discounts are offered in good faith. If a patient verbally expresses an unwillingness to pay or vacates the premises without paying for services, the patient will be contacted in writing regarding their payment obligations. If the client does not make effort to pay or fails to respond within 60 days, this constitutes refusal to pay. At this point in time, I can explore options not limited to, but including referring the client to collections.

Potential discount for paying 100% of cost of services prior to the start of assessment/treatment.

I reserve the right to offer a discount to individuals who pay for an assessment in full anytime up until the first session begins.

For counseling/coaching individuals, this may mean paying for a pre-determined number of sessions. For example, after meeting the first time (called an “intake”), we may decide to work together for 6 sessions; each session costs a flat-rate fee. By paying in advance of those sessions, you may be eligible for a discount by paying for those in full prior to the first session.

For testing and assessment clients, this may mean paying for the assessment in full any time prior to the first testing session.