Health Insurance
Your health insurance likely covers mental health benefits. Do contact your health insurance provider prior to seeking any mental health services to better understand coverage and limitations, including: if there is a deductible you have to meet, or if the insurance sub-contracts with another company for mental health services.
At present I accept:
Capital District Physician’s Health Plan (CDPHP)
Highmark BSNENY
and several plans offered by:
Aetna , Carelon, Empire BCBS, and Optum
See my Hello Alma profile for a full list.
Self-Pay or Out-of-Pocket
If choosing to pay out of pocket (i.e. self-pay), I am able to provide you with a super bill to submit to your health insurance company for reimbursement. At present the self-pay rates are:
Initial Appointment (Intake): $260
Individual Appointment: $200
Couples/Family Therapy: $220
Group Therapy (90 minutes): $50
[Note: With the exception of Group Therapy all other appointments are typically 60 minutes]
Good Faith Estimate
Under the law if you are unable to or do not have insurance to utilize mental health care services, you are entitled to a Good Faith Estimate that shows the cost of services that are reasonably expected to address your mental health care needs. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill.
If you are billed for $400 more than this Good Faith Estimate (GFE), you have the right to dispute the bill.
You are encouraged to contact us in this scenario to reach a resolution.
Or
To learn more and get a form to start the process, go to:
www.cms.gov/nosurprises or call CMS at 1-800-985-3059.
For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call CMS at 1-800-985-3059 .