Unless we have agreed on another figure, my fee is $200 per 50 minute session, $225 for the initial visit or for 60 minute sessions, and $100 for 25 minute sessions. In addition to weekly appointments, I charge this amount for other professional services you may need, though I will pro rate the hourly cost if I work for periods of less than 50 minutes. (Such services include report writing, telephone conversations lasting longer than five minutes, the reading of emails or faxes that take more than five minutes, travel to and attendance at meetings at your request, preparation of records or treatment summaries, and the time spent performing any other service you may request of me.) You will be expected to pay for each session at the time it is held, unless we agree otherwise or unless you have insurance coverage that requires another arrangement. In circumstances of financial hardship, I may be willing to negotiate a fee adjustment or payment installment plan.
In order for us to set realistic treatment goals and priorities, it is important to evaluate what resources you have available to pay for your treatment. If you have a health insurance policy, it will provide some coverage for mental health treatment. I will file claim forms and provide you with the assistance necessary for you receive the benefits to which you are entitled; however, you (not your insurance company) are responsible for full payment of my fees. It is important that you find out exactly what mental health services your insurance policy covers, and that we have a clear, mutual understanding of what costs you can expect, so that you are not taken by surprise. Please be aware that I do not have a contractual relationship with any managed care programs or preferred provider networks. If you have coverage through a health maintenance organization (HMO), it will not cover me. Preferred provider (PPO) plans will usually cover my services but pay a smaller percentage of my fee than they would if you were seeing a clinician who was in their network. To my regret I can no longer afford to be a Medicare provider. If you have supplemental insurance secondary to Medicare, some of these insurance policies may cover your work with me. My fee policies for professional services include charging for negotiations with insurance companies, except for filing claims, which is an incidental part of doing business.