I do not participate with commercial, self-pay, Medicare, or Medicaid insurance plans. However, we can arrange a self-pay agreement. I will provide you with receipts/superbills for you to submit to your insurance plan. Many insurance policies offer "Out of Network Coverage", which would, after any applicable deductible, reimburse you a percentage of my fee.

If you are utilizing Out-of-Network Coverage, I can provide you with specialized receipts ("superbills") and the insurance company will process the claim to your out-of-network benefits. You may receive an Explanation of Benefits and/or reimbursement after you submit these claims.

• Self-pay can mean a deeper personal investment in your therapy, which can lead to you getting more out of it.

• Your therapy experience is more private - none of your records, diagnostic information, or authorization for services must go through insurance.

• In some situations, using your out-of-network benefits can actually be more affordable or comparable to your standard copay to see an in-network therapist.

• If you have a high deductible and haven't had any other medical expenses yet in the year, you are responsible for paying up to the deductible amount in psychological services fees out-of-pocket before your standard copy applies. This is the case where seeing an in-network therapist and out-of-network therapist can accrue effectively the same cost.

• If a psychologist isn't constrained by only providing services they can bill to an insurance company, they are often able to spend more time and creativity crafting the perfect treatment plan for you. Especially if you would like to receive mental health services for a long period of time, this extra attention may benefit your progress. This is also true of services that are not intended to address a diagnosable mental health condition, such as couples counseling.

• Less wait time. Especially for the less-known insurance plans, it can be very difficult to find a therapist who is in-network and accepting new clients. If you limit your search by insurance, you may have to spend months on a waitlist before seeing a therapist.

Service (CPT Code) Rate

Psychiatric diagnostic evaluation (60-90 minutes) (90791) $100.00

Individual 45-minute Session (90834) $90.00

Individual 60-minute Session (90837) $100.00

Couples/Family Session (90847 or 90846) $175.00

*After hours / crisis session (99050). Additional $20.00 (Appointments scheduled to start at 6pm or after.)

Cancelled appointment within 24hrs 50% of Full Fee

Missed/cancelled appointment same day Full Fee

*Administrative hourly fee (documentation, $80.00 collateral calls legal proceedings. etc.)

I will consider this request from clients who find themselves in a unique situation of needing financial support. Only you will decide how much you will invest in yourself and in this process but I am happy to provide some guidance to make a choice that ultimately affects us both (isn’t it beautiful how we’re all so connected to each other? I’m going to go sniff some flowers and think about that…)

Payment is due at the time of your appointment. I accept cash (exact amount), credit/debit/FSA/HSA cards, or personal check. Payment plans are not available. I require all patients to keep a credit card on file even if they are paying by other methods.

Since the scheduling of an appointment involves time, travel and organization to a location reserved especially for you, I request that any changes are made at a minimum of 24 hours notice before the session. I may also determine that a relocation is needed on short notice based on sudden changes in weather if the session is scheduled for outside walking. Clients requesting to cancel or reschedule appointments within 24 hours of their session will be charged 50% of the full fee. Clients requesting to cancel or reschedule appointments on the same day of their session will be charged the full fee. Please note that a switch to a telehealth session may be a good solution if you are unable to attend an in-person session in the office or outside walking; Frequent last minute requests to switch locations (including to telehealth) are difficult to accommodate and may result in an additional $25 convenience fee.