Fees and Insurance

Insurance

At this time the only insurance with whom I work directly is Lyra. 

For those with a PPO insurance plan, you may be able to seek reimbursement for care received through the out-of-network provider benefit on your plan.  Many PPO plans reimburse a portion of the expense associated with seeing an out-of-network provider.  If you would like to seek reimbursement from your PPO, it is recommended that you contact your insurance to determine whether reimbursement is in fact possible.  Useful information to obtain prior to your first appointment is the amount of your deductible and what percentage of session fees you can expect to have reimbursed.  Please be aware that payment is expected at the start of each session.  

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Beginning January 1, 2022 health care providers are required to provide a Good Faith Estimate to individuals who not covered by, or are opting not to use, health insurance.  The Good Faith Estimate must detail the costs that might reasonably be expected to accrue across a calendar year.  As the estimate must be provided when care is scheduled, prior to the occurrence of a thorough assessment or generation of a complete treatment plan, this estimate will include the cost for a year of weekly psychotherapy visits.  

Additional information about this requirement can be found here.  A brief summary of this requirement (as found in the link above) is pasted immediately below:

• "This new requirement was finalized in regulations issued October 7, 2021. The regulations implement part of the 'No Surprises Act,' enacted in December 2020 as part of a broad package of COVID- and spending-related legislation. The act aims to reduce the likelihood that patients may receive a 'surprise' medical bill by requiring that providers inform patients of an expected charge for a service before the service is provided. The government will also soon issue regulations requiring psychologists to give good faith estimates to commercial or government insurers, when the patient has insurance and plans to use it."

Given the above, if you indicate that you will be paying for services out-of-pocket, you will be provided with a Good Faith Estimate for what a course of care lasting 12-full months might cost.  Please be aware this does NOT mean that any given course of care will require 12-full months of care.  

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Right to a Good Faith Estimate

As required by the Centers for Medicare & Medicaid Services, please find the "Standard Notice Right to Receive a Good Faith Estimate" by clicking on the hyperlink immediately above.