I am out of network for insurance. Clients pay out-of-pocket for all sessions. For one time sessions, payment is collected at the conclusion of session. For donor or GC evaluation 'packages' in which I am completing all 3 sessions for your arrangement and the involved parties, payment for all 3 sessions is collected at the conclusion of the first session. So you will "pre pay" for sessions 2 &3 prior to having them. Payments are accepted via credit or debit card; you upload a card into my secure client portal.
I am happy to provide you an invoice (a 'Superbill') for our services which you can submit to your insurance company to seek reimbursement. Here is a step by step process of how to contact your insurance about reimbursement:
Call your insurance provider at the number listed on the back of your insurance card.
- Ask your provider what percentage is covered for “out-of-network” or “non-participating providers.”
- Ask your provider what the “maximum allowed amount” is per session (this is sometimes referred to as “reasonable and customary fees”) for a licensed psychologist.
- If they ask, the CPT/procedure codes I most commonly use are 90837 for individual psychotherapy, 96156 for intended parent consultations, 90791 & 96130 for evaluations, and 90847 for joint sessions
- Ask your provider if you have a deductible for an out-of-network provider and how much it is.
You are entitled to a Good Faith Estimate in accordance with the No Surprises Act (Under Section 2799B-6 of the Public Health Service Act).