Anthem Blue Cross Blue Shield (Currently waiting to be credentialied)
Optima/Sentara
Tricare East/Humana Military
United Healthcare
Self Pay (see rates below)
Insurance:
To determine your mental health benefits, contact your insurance carrier by calling the phone number for customer service located on your insurance card. When checking your coverage, the following questions may be helpful to ask:
What are my benefits for mental health services?
Do I have a deductible? Has it been met?
Do I have a co-pay for each session?
How many sessions are covered each year?
Is prior authorization needed?
If you have a PPO plan, you most likely have what are called Out-Of-Network (OON) benefits. This means your insurance may reimburse you a percentage of any out-of-pocket costs as determined by your plan’s coverage.
Self Pay:
If you do not have health insurance, you are required to pay out of pocket for your therapy services.
Intake Evaluation: $250 for the 90 minute initial evaluation.
Therapy Sessions: $200 for 45-60 minute therapy sessions.
Sliding Scale:
I do reserve a few slots for sliding-scale where a reduced rate can be offered if available.
Good Faith Estimate:
Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writingof their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.
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 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 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. For questions or more information about your right to a Good Faith Estimate, visit http://www.cms.gov/nosurprises.
