How fees work

Insurance we work with

I am out of network, so I don't bill insurance plans directly. Many PPO plans pay back part of the fee for out-of-network visits, and I give you what you need to ask your plan. I don't bill Medicare or Medicaid.

If you pay yourself

The parent or guardian who signs the consent is the one who pays, and you get the fee in writing before the first meeting. It is the same for teen sessions and parent meetings. A limited number of reduced-fee sessions are held, so ask when you write. HSA and FSA cards usually work. I ask for 24 hours' notice to cancel or move a session.

Receipts for reimbursement

I can send an itemized receipt each month, called a superbill, to the person who pays. It lists a diagnosis code, which your plan will see and which becomes part of your teen's record with the plan. The plan decides whether to pay you back, and reimbursement is not guaranteed.

An estimate in advance

If you pay without insurance, you have the right to receive a Good Faith Estimate of the cost of your care before you start, and I give you one in writing in advance. If a bill comes to $400 or more above the estimate, you can dispute it. The estimate is not a contract.

Checking your benefits

Before the first meeting we go over your out-of-network benefits together, and I tell you what to ask your plan. I can't promise what a plan will pay.