Getting Started

Upon scheduling the initial intake/diagnostic evaluation, I will send you digital forms to complete before your appointment.  If you prefer, I can also mail you the forms prior to your appointment.  Please arrive 15 minutes early for your appointment where I will greet you in the waiting room.

I do not accept insurance, but I would be happy to provide you with an invoice that you can submit to your insurance provider for possible out of network reimbursement. When using out of network reimbursement, you are responsible for paying complete fees at the time of service.  Please consult with your insurance company regarding their out-of-network mental health coverage as they each have their own rules and restrictions (See “out of network benefits” below). 

It has been my experience that there is quite a bit of confusion amongst many clients with regards to what this means with respect to the family budget. I have provided an overview below and hope it helps you in making an informed decision.

“Out of Network” coverage – Good News / Bad News

Good News: Most PPO (Preferred Provider Organization) plans allow you (the member) to seek health care with any provider whether or not they are a contracted provider.
Bad News: Your out of pocket expenses may be significantly higher if you seek care from an out of network provider.

What is the Difference Between an “in Network” and an “out of Network” Provider?

Healthcare providers choose to participate as contracted providers for certain insurance companies. This means that the provider and the insurance company have a contract that determines how much a provider is paid for different services. It also stipulates that the provider must accept members from that insurance plan provided there are available appointment slots. Last but not least the agreement specifies the member’s financial share in treatment. Generally speaking, while the costs associated with treatment are lower for the person seeking treatment with an in network provider, the choice of providers maybe fewer (and you may have to travel farther). Almost all HMO plans require you to seek treatment with an in network provider.

In an out of network situation the healthcare provider and the insurance company do not have a legal agreement. Instead the insurance company provides the consumer (you) with basically a two tier system. You may seek treatment with an in network provider at a reduced cost or you may go outside of their network, albeit very often at a higher cost to you.

A Very Basic Example of how the Costs may be Different

Let’s assume you have the following benefits for health coverage. In network: $500 annual deductible and $20 per visit office co-pay Out of network: $2000 annual deductible and 30% co-insurance

If you choose treatment with an in network provider you are liable for the first $500 of accepted charges (accepted charges is defined as how much the insurance company would have paid the provider, not necessarily what the provider billed the insurance). Once you have satisfied the $500 you would then only pay $20 per visit for the remainder of your plan year.

If you choose treatment from an out of network provider you are liable for the first $2000 of charges. Once this requirement has been satisfied you have to pay 30% of the charges. Please realize that this is a percentage of the charges (no a flat $20 co-pay). So, if the charge was $200 your share maybe as high as $60.00 per visit. Your share may also increase after a certain number of treatment visits.

Out of Network Care – Your Responsibility

When seeking out of network care it is imperative that you fully understand the financial ramification. I urge you to contact your insurance company or read your member handbook. There are a multitude of different plans and this handout is designed for general informational purposes only. Your individual situation may be different than described here.

Initial Intake Evaluation (~1.5 hours): $415 (Cash discount: $400)

Individual Sessions (~55-60 mins): $210 (Cash discount: $200) 

Family Sessions (~55-60 mins): $235 (Cash Discount: $225)

School Consultations/Meetings (~30 mins): $105 (Cash Discount: $100)

• To cancel/reschedule: 48 hour notice is REQUIRED
• No show/Late cancellation fee (anything less than 48 hours): Full session fee billed
• Credit card processing fee of 2.95% of fee + $0.30