FEES & INSURANCE

 

 

 

Session Fee

 

 

Individual psychotherapy: $165 per 53-minute session

 

Payment is accepted by credit card, check, or cash.

 

We currently accept UPMC.

All other plans are considered out-of-network.

 

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Using Insurance or Paying Out of Pocket

 

 

You may choose to use insurance or pay privately.

 

Some clients prefer self-pay because it allows for greater privacy. When insurance is used, a mental health diagnosis is required and becomes part of your medical record. Self-pay does not require a diagnosis.

 

If you plan to seek reimbursement from an out-of-network insurance plan, I am happy to provide a monthly statement (superbill) that you may submit to your insurance company.

 

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Out-of-Network Benefits

 

 

If you are considering using out-of-network benefits, you may wish to ask your insurance provider:

 

• Do I have out-of-network mental health benefits?

• What is my deductible, and has it been met?

• What percentage of the session fee is reimbursed?

• Is preauthorization required?

• Is there a limit on the number of sessions covered per year?

 

 

Common CPT codes for psychotherapy include:

 

• 90791 (Initial evaluation)

• 90837 (53-minute session)

 

 

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Good Faith Estimate

 

 

Under federal law, clients who do not use insurance have the right to receive a Good Faith Estimate outlining the expected cost of services.

 

You may request a written Good Faith Estimate at any time prior to beginning treatment.

 

For more information about your rights, visit:

www.cms.gov/nosurprises