Insurance
Currently In Network With:
BlueCross BlueShield of Vermont
Vermont Medicaid
CBA Blue
MVP
Medicare
Out of Network (OON) Clients who have OON benefits for mental heath services.
Self Pay for those who do not use insurance or whose insurers are not listed above.
For more information please refer to my services page to see the current rates.
Service Fees
Fees are based on the services provided and are often determined by a pre-negotiated rate with your insurance provider.
Self pay fees below:
Initial Diagnostic Evaluation
Integrated biopsychosocial assessment, including history, mental status, and recommendations for treatment.
CPT Code: 90791
$250 *Fee may vary due to contracted rates with your insurance providers.
Individual, Family, and Parent Sessions
Individual Session, Family Therapy with client present, and with Family Therapy without client present
CPT Codes: 90837, 90847, and 90846
$200*Fee may vary due to contracted rates with your insurance providers.
Other Individual Sessions
45 minute and 30 minute sessions
CPT Codes: 90834 and 90832
$175 *Fee may vary due to contracted rates with your insurance providers.
No Show or Late Cancellation
I have a 24 hour cancellation fee. If clients do not show or cancel after the 24 hour window has passed, they will be charged my full fee.
$200*This fee does not apply to Medicaid clients or serious emergency situations.
Deductibles, Copays, and Co-insurance
The co-pay and co-insurance amounts paid are dependent on your specific insurance plan. It is the clients responsibility prior to beginning therapy to contact the insurance company. You will want to ask what your out of pocket responsibility is for outpatient mental health services (for in network providers).
Fees may range from $10 copays to the full contracted rate depending on your insurance benefits.
Good Faith Estimates will be provided to any Self Paying client. Estimates may change depending on treatment needs and current service rates, in which case an updated estimate will be provided.
No Surprises Act
Good Faith Estimates
Effective January 1, 2022, a ruling went into effect called the "No Surprises Act" which requires practitioners to provide a "Good Faith Estimate" about out-of-network care.
Under Section 2799B-6 of the Public Health Service Act (PHSA), health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage, or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request, or at the time of scheduling health care items and services to receive a "Good Faith Estimate" of expected charges.
Note: The PHSA and GFE does not currently apply to any clients who are using insurance benefits, including "out of network benefits'' (i.e.., submitting superbills to insurance for reimbursement).
The Good Faith Estimate works to show the cost of items and services that are reasonably expected for your health care needs for an item or service, a diagnosis, and a reason for therapy.
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 may be charged more if complications or special circumstances occur. At that time you will be provided a new "Good Faith Estimate".
If this happens, federal law allows you to dispute (appeal) the bill if you and your therapist have not previously talked about the change and you have not been given an updated good faith estimate.
*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 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, use https://www.cms.gov/nosurprises or click the button below.
“We are not going in circles, we are going upwards. The path is a spiral; we have already climbed many steps.”