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Rates & Insurance

Psychotherapy Services:

$185 per 45-50 minute consultation and $175 per 45-50 minute session thereafter.

Insurances Accepted:

  • Cigna Insurance and Cigna Network participation  (we do not provide EAP services)
  • Web TPA - Lee Health Employee Health Plans

We are not contracted with Medicare or any other insurance companies. Call your insurance company to inquire about any out of network benefits you may be entitled to. 

 

Extended Services:

Appointments requiring more than typical 45 minute appointment times are referred to as "extended services" and require prepayment or deposits in order to schedule and are subject to a 3 business day cancellation policy. 

 

Psychological Assessment/Evaluation Rates (extended services):

For Children: The fees for a Child Psycho-Educational Evaluation (up to age 18) are $185 per 45-50 minute consultation and $175 per 45-50 minute increments thereafter. This service is typically scheduled over 5 appointments. A 45 minute consultation appointment, 3, 2-hour testing appointments and a 45 minute results appointment.  Additionally, the doctor will spend anywhere from 6-8 hours for evaluating, scoring and reporting. If prepaid, you may receive up to a 15% discount on the full service. The total fees typically range between $2,200 and $2,800.

In exploring your options for treatment providers, you may discover variations in costs of an evaluation. Comprehensive evaluations that produce meaningful and useful results require time, training and skill of the evaluator. Our psychologists work one-on-one with the client and do not utilize assistants. You may find in your search for an evaluator that prices vary depending upon these factors.

For Adults: The fees for an Adult Assessment (18 and up) are the same as for a child. However, if it's for a confirmation of an ADD/ADHD diagnosis only, then the appointments may be less. For example: Scheduling will consist of 1, 45-50 minute consultation, 1, 2-hour testing appointment (the doctor will require an additional 2 hours of scoring, evaluating and reporting) and 1, 45-50 minute feedback appointment) and will total $900.

Gifted Testing: The fee for Gifted/Intelligence testing (M-F) is $475. A 3-hour appointment is scheduled. Approximately 2-2.5 hours of testing and 1/2 to 1 hour for results and report.) A 50% deposit is required to schedule this appointment during our regular business hours. Saturday appointments, when available, are $575 and payment must be made in full at the time of scheduling. A 3 business day cancellation policy applies.

Important: if your child may have been previously screened or tested for IQ, certain restrictions apply to retesting within a 12 month period. Please ask your child's school counselor if unsure.

 

Forms of payment we accept:
Cash, checks and all major credit cards are all accepted forms of payment. HSA or FSA reimbursement cards are treated as credit cards and are accepted here.

 

Our Psychologists participate in the following insurance programs and networks: (excludes Dr. Ghali)

  • Cigna Insurance and network participation
  • Web TPA - Lee Health Employee Health Plans

Do you have Medicare?: We are not providers for Medicare. We do not participate with government programs and therefore you are not eligible for out-of-network reimbursement. Please review the Medicare Publication "Medicare Private Contract" for details.

 

When using insurance for psychotherapy services there are several important factors to consider:

  • We do not bill insurance for couples/relationship counseling services as it is not  considered medically necessary.
  • In order for your insurance company to cover psychological 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.
  • Insurance companies do not typically cover educational testing. However, some  conditions that cause learning problems may be covered by your plan. If you have any questions regarding your insurance policy, please call your plan administrator.

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.

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.  

 

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. Remember, you are ultimately responsible for all fees associated with services provided regardless of the reason for any insurance denials. 

 

What to do if we do not participate with your insurance?

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

 

How does using out-of-network insurance work?

Payment is due at the time of service. Services may be reimbursable 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?

Our office will be happy to provide you with the proper insurance form for you to turn in to your insurance company for individual psychotherapy services (for which you must have a diagnosed condition.) Your insurance will communicate and/or reimburse you directly for any benefits you are entitled to. We do not accept any responsibility for following up on claims or processing. Please call your plan administrator if you have any questions about your insurance.

 

Are you ready to schedule your initial consultation?

Visit the "Out Team" page and you may review our doctors, their availability for new patients as well as specialties they may treat. Complete a contact request form on the page for the doctor or your choice and you will be contacted shortly.

You may also call us at (239) 561-9955 if you have any other questions. If you are prompted to leave a message, please do and someone will call you back shortly. 

We look forward to meeting you.

 

 

Helpful Forms

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