
FREQUENTLY ASKED QUESTIONS
Absolutely! Even though we are an "Out of Network" practice, you can still utilize your mental health benefits. All health insurance plans cover mental health visits to varying degrees. We will provide you with a receipt called a "Superbill" that you can use to submit to your insurance plan for reimbursement. We encourage you to contact your insurance company prior to your visit so to learn about the benefits of your specific plan.
When contacting your insurance, we suggest asking the following:
Do I have any out of network benefits?
What is the out-of-pocket deductible for out of network providers?
Am I responsible for paying my deductible before sessions are covered?
What is the out of network out of pocket maximum?
What would my co-insurance/co-payment be?
What is the “allowed amount” for a 90837 (Individual 55 minute session) or 90847 (Family therapy)? (This is the total amount that insurance plans would reimburse for each specific service.)
Is pre-authorization required for Mental Health sessions?
MCPS Employees: Cigna may reimburse you up to 80% of the full fee! Check your plan for details.
If you do not have any Out of Network benefits, some of our clinicians are able to offer "sliding scale rates" which are lower rates due to financial need. You will be able to discuss this in your complimentary 15 minute consultation with a provider.
Please note that we are considered an "Out of Network" provider.
You can also utilize Reimbursify to check your benefits: https://practitioner.reimbursify.com/verifast?ec=1H7A0D5H2H
Or file claims: https://partner-filefast.reimbursify.com/?qc=PRNCO727A
Remember, therapy is an investment in yourself and your family. It's like having a personal trainer for your brain.
During the complimentary consultation call, our providers are happy to provide you with rates and information regarding payments. Remember that these rates are before any reimbursement that you may receive from your insurance company. Upon scheduling with a provider, you will find all of our fees per service (generally $175-$305) in the policy statement on our client portal.
While working with your therapist, you will discuss course of treatment and treatment length. Due to the nature of therapy, this can change based on life circumstances throughout the process. You have the right to be aware of costs of services and we will inform you of changes.
https://www.cms.gov/nosurprises/consumers
Yes. For your convenience, we do not charge a fee for using Credit or Debit cards of any kind. If you have any HSA/FSA benefits, you can use this for payment as well. There is no additional fee for using a credit/debit card.
Each client gets one free claim submission from Reimbursify: https://partner-filefast.reimbursify.com/?qc=PRNCO727A
