Fees and Insurance

Current Fees:

Presently, my clinical fees are $200 for the initial consultation session (CPT 90791) and $165 for subsequent individual or couples therapy sessions (CPT 90834 and 90847, respectively). Please note that when I perform evaluations and other consultative services on behalf of a third party (such as a licensing board, professional society, organization, attorney, etc), my fees are different from the clinical fees listed here.

Cancellations:

If it is necessary to cancel your appointment, please do so at least 48 hours prior to the time of the scheduled appointment.  Failure to cancel your appointment with sufficient notice will result in a late-cancellation/no-show fee.  You will be responsible for the full clinical fee – not a reduced fee or copayment amount – and you will not be able to seek reimbursement for that late-cancellation/no-show fee by your insurance company.

Payment Options

I accept payment in the form of checks, cash or credit card.

In-Network Insurance Coverage

Currently the only insurance companies I have agreed to participate with as an in-network provider are Johns Hopkins EHP and Medicare.  If you intend to seek partial reimbursement from an insurance company other than EHP or Medicare, please read the section below.

Questions about Out-of-Network Coverage for Your Insurance Company

You will want to call your insurance company if you intend to use your health insurance to cover my fees.  If you have insurance coverage other than EHP or Medicare, you will need to inquire about your out-of-network benefits; in such cases, I am happy to provide you a detailed receipt with all the information needed so you can submit the expense to other insurance companies yourself and receive reimbursement according to your insurance coverage.  When you call your insurance company, be sure to ask the following questions:

  • Is pre-certification or pre-authorization required? If so, obtain and write down the authorization number or code.
  • How many sessions will the insurance company authorize before a treatment plan is required?
  • What are the “reasonable and customary” amounts covered for the initial intake session (CPT code 90791) and for follow-up sessions (CPT code 90834 for individual therapy and 90847 for couples therapy) provided by a psychologist?
  • If you are seeking couples or marital therapy, ask if your insurance company covers this as a benefit; many health insurance companies deem couples therapy to not be “medically necessary.”
  • Do you have a deductible you need to meet before your insurance starts to cover payment? If so, how much of the deductible do you still have to meet for this calendar year?
  • How much is your co-pay?
  • Is there a maximum number of sessions per calendar year, and is there a lifetime maximum number of sessions? If so, how many of these sessions have been used?