Fees and Insurance

Private Pay

 

Individual therapy $165 (50-minute session)

Couples therapy $180 (50-minute session)

Family therapy $180 (50-minute session)

Additional time is prorated.

 

Payments

 

Credit Card/Debit Card

HSA/FSA Card

 

Insurance

In Network

 

Health Net HMO and PPO

HealthNet Medical

MHN

Out of Network

All PPO Insurances

How do I request reimbursement from my PPO insurance?

We are out-of-network for most insurances however if you have a PPO insurance you may be able to obtain reimbursement for mental health services. The first step is to contact your health insurance provider to inform them that you are interested in seeing an out of network provider for psychotherapy. 
Ask the following questions: 
1.      What is my out of network deductible?
2.      What is my co-insurance after my deductible is met? What percentage will my insurance cover?
3.      Where do I submit my superbills for reimbursement? Is there an e-mail or physical address?
The purpose is to determine what therapy services will cost you, what your insurance will cover, and where to submit for reimbursement.

Key Terms

Deductible: The amount you are responsible for paying to the provider before your health insurance plan starts to pay/reimburse you. 
Co-insurance: The percentage of the claim you must pay to the provider each time healthcare services (therapy sessions) are rendered if the insurance does not pay in full. 
Co-pay: A fixed amount you are responsible for paying for each visit. 
Out of network: Indicates the provider is not contracted with your health insurance plan. 
Out-of-pocket Max: The highest amount your health insurance requires you to pay for healthcare services in one year before they cover 100%. 
Provider: The therapist rendering services. 
Superbill: A document created for health insurance plans that outlines the services performed for you, the patient and is used to bill the insurance for reimbursement to the patient.

Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.
Under the law, health care providers need to give patients who do not have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.
You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a 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 www.cms.gov/nosurprises or call (800) 985-3059.