Questions?

I am based in Florida and currently accepting clients for online therapy in Virginia, Washington D.C. and PSYPACT participating states (Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Minnesota, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, Ohio, Oklahoma, Pennsylvania, Tennessee, Texas, Utah, Washington, West Virginia, Wisconsin)

Online therapy can offer you the convenience of fitting into your busy schedule while meeting from the comfort of your own home. We will use a secure video online platform to meet and all you will need is a private space with a strong and reliable internet connection.

Currently I am only seeing clients via telehealth.

The first appointment is a chance for us to get acquainted. I will gather further details on what brings you to therapy and the goals you wish to achieve during our work together.

A 45-minute session is $230 and you may make payments via credit card or using your HSA/HFA card. I am out-of-network and do not take insurance.

Out-of-network psychotherapy coverage varies by insurance company and policy. If you have out-of-network coverage, you can get reimbursed approximately 50-80% of each session after the deductible has been met.

I will provide you with monthly invoices called a “super bill” that will include all of the necessary information for your claims to be processed. Most insurance companies have you upload your monthly superbill online (it’ll be sent to you on the 1st of each month) and then they will mail you a check with your reimbursement.

To find out if you have out-of-network benefits, you can call the number listed on the back of your insurance card and ask the following questions;

1. Do I have out-of-network outpatient mental health coverage? Am I able to use these benefits for telehealth?

2. What is my out-of-network deductible?

3. How much of my deductible has been met this year?

4. Do I need a referral from an in-network provider to see someone out-of-network?

5. What percentage of outpatient psychotherapy sessions are covered per session?

6. How much will I be reimbursed for a 45 minute psychotherapy session (CPT code: 90834)?

7. How do I submit claim forms for reimbursement?

8. How long does it take for me to receive reimbursement?

Psypact is short for The Psychological Interjurisdictional Compact. Psypact works with state policies to allow psychologists to practice across state borders.

Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, District of Columbia, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, Ohio, Oklahoma, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, Wyoming

YOU HAVE THE RIGHT TO RECEIVE A “Good Faith Estimate”

EXPLAINING HOW MUCH YOUR MEDICAL CARE WILL COST

Under the law, the No Surprises Act of the 2021 Consolidated Appropriations Act that goes into effect January 1, 2022, healthcare 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 (GFE) 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 healthcare provider gives you a Good Faith Estimate in writing at least one (1) business day before your medical service or item. You can also ask your healthcare 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 1-800-985-3059.

Your Rights and Protections Against Surprise Medical Bills

DISCLAIMER:

It is not possible for a mental health therapist to know, in advance, how many sessions may be necessary or appropriate for a given client. Therefore, the GFE cost estimate is only an estimate; it isn’t an offer or contract for services, nor does it obligate you to receive services with our practice.

The frequency, length, and cost of treatment can be determined in collaboration with your therapist, in line with your clinical needs and appropriate course of treatment. Please be aware that costs may change as treatment needs change, or services are added or ended, and that you have the right to decide when you wish to end treatment at any time.

In addition, the GFE does not include non-clinical services that you as the client can control in terms of limiting costs that occur outside of therapy appointments, including missed appointments/late cancellations, response to subpoenas, legal/court fees, requests for documentation, and/or representation at school meetings. These are omitted from the GFE as they are not typical services, and they are not eligible for reimbursement from insurance.

GFEs will be reassessed at least once per year, and clients will be given advance notice of any fee changes due to modifications or additions in mental health services at least one (1) day prior to the service appointment.

DISCLAIMER:

The Good Faith Estimate shows the costs of items and services that are reasonably expected for your healthcare needs for an item or service. The estimate is based on information known at the time the estimate was created.

The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill.

If you are billed for more than this Good Faith Estimate, you have the right to dispute the bill.

You may contact the healthcare provider of facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available.

You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill.

There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the healthcare provider or facility, you will have to pay the higher amount.

To learn more and get a form to start the process, go to www.cms.gov/nosurprises or call 1-800-985-3059.

For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call 1-800-985-3059.

Keep a copy of your Good Faith Estimate in a safe place or take pictures of it. You may need it if you are billed a higher amount.

ADDITIONAL RESOURCES:

For more information about your rights under Virginia state law, visit

Virginia State Disclosure Notice Protections Against Surprise Billing

For more information about your rights under Federal law, visit

No Surprises Act of the 2021 Consolidated Appropriations Act

Requirements Related to Surprise Billing; Part II Interim Final Rule with Comment Period

Federal law and regulation information is valid as of 01/01/2022 and subject to change.