Good Faith Estimate – Notice

Under the law, health care providers are required to provide clients who don’t have insurance, or who are not using insurance, an estimate of the expected charges for medical services, including psychotherapy services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask any health care/mental health care provider for a Good Faith Estimate before you schedule a service, or at any time during treatment. 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 additional information about your right to a Good Faith Estimate, how to dispute a bill, etc., please visit www.cms.gov/nosurprises. 

Do you accept insurance?

As an out-of-network provider, I am not a member of any managed-care plans and do not accept insurance as a form of payment. Payment is due in full at the time of each appointment. I accept most credit cards including Visa, MasterCard, American Express, Discover, as well as FSA and HSA cards. I will provide you with detailed receipts with all the necessary information, which you can submit to your insurance for reimbursement.

If you plan to submit claims to your insurance for reimbursement, it is highly recommended that you contact your insurance carrier prior to initiating services to inquire about your out-of-network mental health benefits, and to learn whether pre-authorization is required.

These are the CPT codes I most often use: Intake/initial evaluation 90791, Psychotherapy 90834; Family therapy without child 90846; Family therapy with child 90847

Fees: please contact me to learn more about my therapeutic services and fees

How can I tell if my child’s challenges are age-appropriate and will improve with time, or if she/he would benefit from therapy?

Consider the following criteria for determining whether your child may be in need of a therapeutic intervention: (1) Duration, persistence, and level of intensity of presenting concerns; (2) Whether the presenting concerns negatively impact your child’s behavior, mood, social, or academic status, sleep, or eating pattern; (3) Whether your child’s presenting concerns are contributing to significant stress and/or are negatively impacting your family; (4) Whether you have concerns about your child’s well being or safety; (5) Whether you have tried just about everything to address the presenting concerns with little to no change.

If you have any questions regarding my services and whether it is time to initiate therapy for your child and family, please contact me and I will be happy to provide you with additional information and help you determine whether therapy is right for your family.