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Rates & Insurance

Why pay out of pocket?

Life can be challenging, and it is an honorable choice to seek psychological services to improve your life when you are struggling. It takes courage to share private aspects of your life with a professional, and we deeply respect and appreciate the importance of your confidentiality and privacy. For this reason, there are good reasons why many people are choosing not to use their health insurance to pay for their therapy or evaluation services.

When using insurance there are several important factors to consider:

  • In order for your insurance company to cover our services we must share with them your diagnosis, which also means you must be given a diagnosis even if your difficulties are quite typical. When an insurance company is covering payment for your treatment they are able to request certain information regarding your symptoms, treatment, and history. Once the information leaves our office, it is no longer in our control.
  • We may need to provide updates to your insurance company regarding your progress and symptoms.
  • Insurance companies generally will not cover psychological testing specifically for learning disabilities. 

Although paying for treatment oneself provides the only true privacy, we also understand that this is not a feasible option for some. If you need treatment, and are unable to self-pay, don't let it stand in your way. We will provide your insurance company with only that information which is necessary for you to receive the services you need.

Our Psychologists participate in the following insurance programs and networks:

  • Cigna
  • MultiPlan
  • Web TPA - Lee Health Plans

Medicare/Medicaid/TriCare/Staywell/HealthyKids/Prestige: Our office does not participate with government programs and are not eligible for out-of-network reimbursement. Please review the Medicare Private Contract found on our Forms page.

How does using in-network insurance work?

Services may be covered in full or in part by your health insurance or employee benefit plan. Please check your coverage carefully by asking the following questions:

  • Do I have mental health benefits?
  • Do I have a deductible and has it been met?
  • After the deductible is met, do I owe a copay or coinsurance amount?

Services are billed to your insurance electronically and typically take 10-14 business days to process.

What to do if your insurance is not listed above?

Many of our clients choose to use their out-of-network benefits with their health insurance company. It is important for clients to know the nature and extent of their benefits for mental/behavioral health care. Some plans have different coverages and deductibles or require their members to call prior to any services. 

How does using out-of-network insurance work?

Services may be reimburseable with your out-of-network benefits. Please check your coverage carefully by asking the following questions:

  • Do I have out-of-network benefits?
  • Do I have mental health benefits?
  • Do I have an out-of-network deductible? Has it been met?
  • After the deductible is met, what is the percentage of reimbursement?

Services can be billed to your insurance electronically and typically take 10-14 business days to process. Your insurance will reimburse you directly for out of network benefits.

Reduced Fees:
We do not offer sliding scale, reduced fees, or payment plans.

Forms of payment accepted:
Cash, checks and all major credit cards are all accepted forms of payment.

Session Rates:

$185 per 45-50 minute consultation

$175 per 45-50 minute session

Evaluation Rates:

$185 per 45-50 minute consultation

$175 per hour of testing, scoring, reporting (ranges from 10-12 hours over 3-4 appointments)

$400 Gifted/Intelligence testing (One 3 hour appointment; approximately 2 hours of testing and 1 hour for results.)

Immigration/Hardship Evaluations:

A brief phone consultation with the doctor will be scheduled to assess eligibility for this service. Fees will be determined using factors of difficulty and length of evaluation and reporting. A common price range for such evaluations can cost between $1200 and $1600. Please call the office at (239) 561-9955 to schedule a phone consultation. 

 

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