Choosing to pay privately (without insurance) helps to ensure your utmost confidentiality and privacy when working together. I do not need to release your records to any third party without your consent. Also, when using your insurance, I must diagnose you with a mental health condition that will become part of your medical record. If you choose to pay privately, information about the nature of your treatment and the issues discussed in sessions will remain solely between you and I. Thus, it is important to consider which option you prefer and are most comfortable with prior to beginning treatment.

You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.

Under the law, health care providers need to give patients 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 your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a 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, visit www.cms.gov/nosurprises.

Depending on your current health insurance provider or employee benefit plan, it is possible for services to be covered in full or in part. I have partnered with Reimbursify for you to submit your claims for out-of-network health insurance reimbursement. Insurance reimbursement is not guaranteed.

Please contact your provider to verify how your plan compensates you for psychotherapy services. I’d recommend asking these questions to your insurance provider to help determine your benefits:

• Does my health insurance plan include mental health benefits?
• Do I have a deductible? If so, what is it and have I met it yet?
• Does my plan limit how many sessions per calendar year I can have? If so, what is the limit?
• Do I need written approval from my primary care physician in order for services to be covered?
• Is my preferred therapist covered by my insurance?

Fees are due at the time of service. I accept cash, check and all major credit cards as forms of payment.

If you are unable to attend a session, please make sure you cancel at least 48 hours beforehand. Otherwise, you may be charged for the full rate of the session.