Private Pay Rates: $250/50min, telehealth
I am licensed to offer therapy to California residents, and currently practice out-of-network & virtually.
If you wish to submit to your insurance for out-of-network reimbursement, I can provide an invoice (known as a "superbill") that may help you access reimbursement depending on the plan you are on.
Below is a list of questions I recommend you ask your insurer as applicable to you:
Does my plan include out-of-network benefits for outpatient mental health services? (Yes/No)
What’s my out-of-network deductible for mental health services? (Dollar amount)
Must my out-of-network deductible be met before benefits apply? (Yes/No)
Is there a limit on out-of-pocket expenses per year? How much? (This is the maximum amount you will pay in a plan year; once you exceed this amount, your insurance will pay 100% of all healthcare expenses. This amount resets each year.)
Do I have a limit on the number of outpatient mental health visits? (Yes/No)
Is preauthorization required for my psychotherapy sessions? (Yes/No)
What is my co-pay? (Percentage)
What is my co-insurance? (Percentage)
What is the reimbursement rate for sessions (based on below CPT codes)
Initial intake sessions (CPT code 90791)
60 minute individual psychotherapy sessions (CPT code 90837)
Group psychotherapy (CPT code 90853)
What paperwork do I need to start a reimbursement claim, and where do I send it?
Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical 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 bill for medical items and services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or 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