Fees and Insurance:
Call me to discuss my current fee.
At present, I do not bill insurance directly. Though depending on your insurance plan, you may be able to receive reimbursement for our sessions. I am happy to help support you with this process. I suggest calling your insurance company to inquire about your out-of-network benefits for mental health before our first meeting.
Image: Study of The Clouds over the Roman Campagna, (1785),
Pierre-Henri de Valenciennes, Courtesy of The National Gallery of Art
Insurance Verification Form
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 don’t 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.
Forms:
Below are the forms that I will give you to fill out 15-30 minute before your first appointment. If you wish, you can feel free to instead print them out and complete them at home prior to your first.
Patient Registration Form
Consent to Treatment Form
Consent to Release Information Form
Good Faith Estimate Form