Insurance

I am an “out of network” provider for all behavioral health plans. Always call your insurance provider to determine coverage for out-of-network providers.

Protecting your confidentiality

Whether or not to use Mental Health Insurance benefits is a decision that should be carefully considered. Confidentiality of personal information is an important aspect of therapy. Unfortunately, I cannot guarantee confidentiality of your personal information if you seek reimbursement from a third party. In order to file a claim, I am required to disclose your diagnosis, and possibly other information about your treatment. This disclosure does not necessarily mean your treatment will be covered. Many insurance companies limit treatment for certain diagnoses (e.g., bereavement, behavior problems in children). They may cover a “minor” diagnosis (e.g., a relationship problem) for the first few sessions, and then require a “major” diagnosis (e.g., major depression) in order for treatment to continue. Or they may accept a “minor” diagnosis (e.g., parent child conflict) but allow only individual therapy sessions, which are generally ineffective for this type of problem. Unfortunately, clients often find out their treatment is not covered only after confidential information has already been shared.

Information shared with managed care companies becomes part of your medical record. A diagnosis, such as depression, can affect your ability to receive medical or life insurance coverage in the future.

I will be happy to discuss the pros and cons of this important decision as it applies to your particular circumstances during your first visit.

If you plan to use your insurance

At each session I will provide you with a Superbill which contains all the required information you will need to file a claim and receive reimbursement. You are expected to pay the full fee at each session, and your insurance plan will reimburse you directly. Please note, the Superbill will indicate a diagnosis. I will be happy to discuss the diagnosis with you at the time of your first session.

Additional Charges

Several of the services I offer are not covered by insurance. These include:

  • Fees for missed appointments or late cancellations.
  • Costs of assessment instruments (used to assess ADHD, childhood depression and/or anxiety, and social problems in children).
  • Reports or other correspondence
  • Time spent outside the office (school meetings, court, etc.).
  • Telephone or email consultations.

If you have a question about your coverage, please contact your insurance provider.