FAQs
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45 minute individual therapy session: $250
Insurance: I will submit claims on your behalf, at no cost to you through Mentaya. This means you won't have to submit superbills, I will take care of that. This helps you get reimbursed as quickly as possible.
Reduced Fee / Sliding Scale: I reserve some reduced fee or sliding scale spots through Project Heal.
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45 minute consultation meeting: $150
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I am in-network with the below health plans. If you have a different health insurance plan with out-of-network benefits, I will submit insurance claims on your behalf through Mentaya to help you get reimbursed as quickly as possible.
Aetna
Blue Shield of California
Anthem Blue Cross California
Regence BlueCross BlueShield of Oregon
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You can review your Summary of Benefits or call your health insurance plan for more information. I recommend calling though as the summary of benefits can be complicated to understand.
Your Summary of Benefits is typically accessible through your health insurance plan's online portal. Navigate to the Mental Health Coverage Section within your Summary of Benefits. Locate the Outpatient Services Section. Review the Non-Participating Provider or Out-of-Network Provider Section.
This will give you an overview of what your health insurance plan covers for out-of-network/non-participating provider outpatient mental health services, if anything.
Generally, you need to meet your deductible before insurance covers any expenses. Different deductible amounts usually apply to participating providers (in-network) and non-participating providers (out-of-network). An insurance deductible is the amount of money that you must pay out of pocket before your insurance company begins to cover the costs.
Find the section detailing the general deductible for non-participating/out-of-network providers. You must satisfy this deductible before insurance will pay or reimburse you.
If you have out-of-network benefits, PPO plans can cover anywhere from 30-80% of the session cost. You will be responsible for paying for each session in full at time of appointment.
Call your insurance provider to get an individualized estimate of what your costs would be if you use your out-of-network benefits. Call the number on the back of your health insurance card listed under Member Services and ask them the below questions.
— Do I have out-of-network outpatient mental health coverage?
— Am I able to use these benefits for telehealth?
— What is my out-of-network deductible?
— How much of my deductible has been met this year?
— Do I need a referral from an in-network provider to see someone out-of-network?
— Do I need a pre-authorization to see an out-of-network provider?
— What percentage of outpatient psychotherapy sessions are covered per session?
— How much will I be reimbursed for a 45 minute psychotherapy session (CPT code: 90834)?
— Can you explain the difference between an allowed amount and my potential provider’s fee? Insurance plans typically have an "allowed amount" they're willing to pay for a specific service. Only the allowed amounts usually count towards your deductible, not necessarily the amount you paid the provider directly. If your provider charges more than the plan's allowed amount, you'll usually have to cover the difference.
— How do I submit claim forms for reimbursement?
— How long does it take for me to receive reimbursement?
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You will typically need to provide the following information to your health insurance plan to understand how much they will cover and how much you will pay for out of network services.
— Your member ID (found on your insurance card)
— License number of provider. My license numbers are: MFT#105661 (CA), T#1887 (OR), LMFT#15854 (AZ)
— NPI number of provider. My NPI is 1477972057
— Provider business address. My business address is 3041 Mission Street #311 San Francisco, CA 94110
— Procedure codes. I typically bill under code 90834 (45 minutes of psychotherapy) or 90837 (60 minutes of psychotherapy)
— Place of treatment. Tell them “Telehealth.”
— Diagnosis codes. Here are common diagnosis codes I bill under:
F50.01 Anorexia nervosa, Restricting type
F50.02 Anorexia nervosa, Binge-eating/purging type
F50.2 Bulimia nervosa
F50.81 Binge-eating disorder
F50.82 Avoidant/restrictive food intake disorder
F50.89 Other specified feeding or eating disorder
F45.22 Body dysmorphic disorder
F41.1 Generalized anxiety disorder
F40.10 Social anxiety disorder
F42.2 Obsessive-compulsive disorder
F42.4 Excoriation (skin-picking) disorder
F43.0 Acute stress disorder
F43.10 Posttraumatic stress disorder
F43.20 Adjustment disorders, Unspecified
F43.21 Adjustment disorders, With depressed mood
F43.22 Adjustment disorders, With anxiety
F43.23 Adjustment disorders, With mixed anxiety and depressed mood
F43.24 Adjustment disorders, With disturbance of conduct
F43.25 Adjustment disorders, With mixed disturbance of emotions and conduct
F32.0 Major depressive disorder, Single episode, Mild
F32.1 Major depressive disorder, Single episode, Moderate
F32.2 Major depressive disorder, Single episode, Severe
F32.3 Major depressive disorder, Single episode, With psychotic features
F32.4 Major depressive disorder, Single episode, In partial remission
F32.5 Major depressive disorder, Single episode, In full remission
F32.81 Premenstrual dysphoric disorder
F32.89 Other specified depressive disorder
F32.9 Major depressive disorder, Single episode, Unspecified
F32.A Unspecified depressive disorder
F33.0 Major depressive disorder, Recurrent episode, Mild
F33.1 Major depressive disorder, Recurrent episode, Moderate
F33.2 Major depressive disorder, Recurrent episode, Severe
F33.3 Major depressive disorder, Recurrent episode, With psychotic features
F33.41 Major depressive disorder, Recurrent episode, In partial remission
F33.42 Major depressive disorder, Recurrent episode, In full remission
F33.9 Major depressive disorder, Recurrent episode, Unspecified
F43. 1: Post-traumatic stress disorder (PTSD)
F42: Obsessive-compulsive disorder
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No, I work with adults (18+) located in California, Oregon, and Arizona.
I do not work with children and adolescents but I’m happy to send you child and adolescent provider referrals so feel free to contact me for a list of referrals.
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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 bill for medical items and services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or 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 OR CALL (800) 368-1019.Item description