frequently asked questions
15 Minute Phone Consultation = Free
Fees for the CPT (billing/treatment) codes most commonly used in our practice:
90791 (Intake Assessment/Psych Diagnostic Evaluation) = $250
90837 (53 - 60 minute Individual Therapy Session) = $225
90834 (45 minute Individual Therapy Session) = $200
90832 (16 - 37 minute Individual Therapy Session) = $175
90847 (50 minute Couples Therapy Session) = $225
Upon booking confirmation for an Intake Assessment, a "Good Faith Estimate" is provided according to The No Surprises Act, which will outline more of what clients can generally expect for the total cost of treatment and the cost of other ancillary services we may provide over the course of a full calendar year.
Payment Methods: Most Major Credit Cards, Flexible Spending Accounts, or Health Savings Accounts.
All of our services are billed as either Private Pay or Out-Of-Network (OON; this means that we do accept clients who want to use their insurance coverage to claim potential OON reimbursement for therapy depending on their OON benefits, but we are not in-network with any insurance companies).
We strongly believe in providing exceptional services at a fair fee that’s consistent with the usual and customary market rates according to the states that we serve, our level of education and professional license, and our level of expertise gained over the past decade of our career.
Private Pay clients are billed directly for Services that they are provided through our Jane Client Portal system with the card on file at the time of service. That's that!
Private Pay clients enjoy greater privacy and a much lower risk of any third-party involvement in their mental health treatment, which remains private from any insurance company and helps increase the confidentiality of Private Pay clients' protected health information.
OON clients are billed directly for Services that they are provided through our Jane Client Portal system with the card on file at the time of service. A Superbill for each completed session is provided, upon request, to clients via HIPAA-compliant email on a monthly basis.
OON clients may submit their Superbills to their insurance company to claim potential OON reimbursement depending on the OON benefits covered by their plan. Insurance companies may typically process claims for OON reimbursement within 30-60 days.
Superbills and/or any other estimate is not a guarantee of coverage and financial cost; you are responsible for verifying your coverage; your benefits are an agreement between you and your insurance company, and you are financially responsible for what your insurance does not cover. If you have concerns about your coverage, then you may need to contact your insurance provider directly.
Here are some questions that you may ask your insurance company when calling the number on the back of your insurance card to verify the level of coverage for your plan's OON benefits:
"Does my plan include out-of-network benefits for outpatient behavioral and mental healthcare services?"
"What is my annual deductible for out-of-network mental health benefits? How much of this deductible have I already met?"
"When does my deductible reset each year?"
"Is there a limit on the number of sessions that my plan will cover annually?"
"Are the following CPT (billing) codes for psychotherapy sessions covered?":
90791 (Intake Assessment/Psych Diagnostic Evaluation)
90837 (53-60 minute Individual Therapy session)
90834 (45 minute Individual Therapy session)
90832 (16 - 37 minute Individual Therapy session)
90847 (50 minute Couples Therapy session)
"Is there a limit on out-of-pocket expenses per year? How much?" (This is the maximum amount you would pay in a plan year; once you exceed this amount, your insurance would pay 100% of all healthcare expenses. This amount resets each year.)
"What is the coinsurance percentage for mental health services that my plan will cover?" (This is the percentage that your insurance would cover once you meet your deductible.)
"Do I need a referral or pre-authorization to receive services?"
"What is the Usual, Customary, and Reasonable fee (UCR) or the “allowed amount” for psychotherapy?" (They may tell you that this information is proprietary. This is not true. You are entitled to know what your plan sets as the allowed amount. Explain that you need this rate in order to know how much you can expect to be reimbursed after meeting your deductible. For reference, the UCR rate in NYC for 45 minute psychotherapy sessions is typically between $200 – $300).
"How do I submit Superbills for reimbursement?" (Most insurance companies allow for Superbills to be submitted via their website; you may also consider using a service like Reimbursify).
Please be advised that using health insurance to cover the cost of treatment carries some inherent and potential risk to your confidentiality, privacy, and/or future eligibility to obtain health or life insurance.
Most insurance companies require that clients meet criteria for a psychiatric diagnosis and medical necessity in order to authorize payment for the cost of treatment/reimbursement if it is covered. Therefore, we are required to evaluate you for a mental health diagnosis and medical necessity, and disclose protected health information (PHI) about you to your insurance company through the Superbill and any other clinical documentation they require when you utilize health insurance to cover the cost of your therapy and/or claim OON reimbursement even if the challenges you are going through are common, relational issues, everyday stress, or transitions that occur as people move through natural life cycles.
The information your insurance provider may typically request is limited to diagnoses, CPT (billing) codes, and dates of service. However, they would have a right to audit your records as a third party payer at any time which may include additional PHI such as progress notes and treatment plans. When you do not use your insurance, this information remains private and ensures you greater confidentiality.
Please ask us any questions you have about billing and fees during your free phone consultation. Also, you can read about The No Surprises Act to learn more about your rights and protections against surprise billing.
Yes! We believe it’s important to keep therapy accessible; therefore, we may offer a Sliding Scale / Reduced Fee Agreement on a limited basis. Access to our Sliding Scale is generally available on a first-come, first-served basis and it's based on household income + financial hardship(s) + availability in our schedule for the reserved Sliding Scale spots.
The Sliding Scale rates cannot be combined with insurance (including potential reimbursement from out-of-network benefits). Sliding Scale / Reduced Fee Agreements are subject to change at our sole discretion (though we will give ample notice). If you are in need of a Sliding Scale rate, then send us an email or mention it during your free phone consultation.
Our Financial Policy requires at least 24 hours advance notice to avoid fees for late cancellations and/or missed appointments.
We value your time AND we value our time.
Late cancellations and/or missed appointments ("No Call, No Show") are subject to a fee up to 100% of the fee for each appointment type.