IMPORTANT NOTICE Re: Federal No Surprises Act & Good Faith Estimates
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 1-800-985-3059.)

Initial Consultation: I provide initial 15-minute consultations (free of charge) by phone, online or in person, to determine whether your needs are within my scope of expertise, and to allow you to become familiar with my treatment approach.

Assessment: Initial Assessments are conducted at a flat rate of $250. This session will be scheduled for 90 minutes to facilitate completing necessary forms and agreements, as well as gathering a thorough history of symptoms and concerns. Assessment may go beyond this first session, but additional sessions will billed at the “regular” session rate.

Ongoing Treatment:
After the initial assessment, ongoing treatment is charged on a monthly basis, at the rate of $800/month ($900 for couples/family therapy). This fee is prorated, based on a schedule of 4 appointments per month. Ongoing appointments are scheduled for 50-minutes.

**Any individual appointments beyond the initial 4 in a given month are conducted at no additional charge, unless  arranged as an ongoing plan of treatment

Monthly billing begins on the first full month, and prior sessions are billed at the single-session rate (to be paid on the day of service.) Brief and temporary increased need for sessions are not charged above the monthly rate.

** Discounted fees may be arranged on a case-by-case basis, based on need and availability. 

Why a monthly fee structure, rather than paying “session by session”?

  1. The greatest barrier to success in anything, including therapy, is not showing up. Regular attendance to treatment is critical to therapeutic progress, and you deserve the “biggest bang for your therapy buck.” I have found that a monthly fee structure incentivizes the most consistent attendance. That said, I am often able to accommodate a missed appointment by rescheduling, and will always do so when possible.
  2. Everyone needs time off. I generally plan about 5-6 weeks each year for International Field Work, to conduct Professional Trainings, and for vacations. The field work is an important way for me to stay connected and give back to the field, an important ethical commitment in my life. Vacation is how I stay “in shape”, rested and able to provide the best care possible to you. This Paid Time Away is a benefit, like health insurance, that I have built into my work model.
  3. Finally, by keeping my monthly income predictable, I am able to know how many slots I have available to take on discounted-fee & pro-bono clients – something I am strongly committed to doing.

Forms of Payment Accepted

I accept most major Credit Cards, as well as Cash, Check, PayPal, Venmo as forms of payment.

Fees are due on the 1st of the month for upcoming month’s services, unless otherwise arranged. 

** Card payments are processed on the 1st of the month through Simple Practice (via Stripe).

 

Insurance

I do not bill insurance plans directly. While your therapy may be covered in full or in part by your PPO Health Insurance Plan or employee benefit plan (such as an HSA account), I am considered an “out of network, fee-for-service provider.”  I require direct payment for services, but I can provide you with a Super Bill to submit to your insurance for reimbursement, should you choose to do so.

Please check your coverage carefully by asking the following questions:

  • Do I have mental health / behavioral health benefits?
  • What is my deductible and has it been met?
  • How many sessions per year does my health insurance cover?
  • What is the coverage amount per therapy session for “out of network, fee-for-service” providers?
  • Is a referral or approval required from my primary care physician?