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investing in 
therapy

rates, insurance,
+ sliding fees

fees:

My full fee is $180 for intake appointments and $165 for regular psychotherapy sessions.

insurance:

If you are looking to use health insurance as a third party payer for therapy: DC & MD Clients: I am in-network with BCBS PPOs, Cigna PPOs, and some Aetna plans. Montana Clients: I am in-network with BCBS, Allegiance, Pacific Source, Montana Health Co-op, & First Choice Health Network.All amounts declared as patient responsibility by your insurance (co-pay, deductible, co-insurance, etc.) are collected at the time of service.I ask that you contact your insurance provider to confirm your benefits and coverage even if I'm considered in-network.

You will want to ask:
      
• Do I have outpatient mental health benefits?​   
 
• What is my co-pay?
     
• Do I have a deductible to meet? If so, w
hat is my deductible amount before my benefits kick-in & how much will I owe per session until then?

I cannot guarantee any insurance coverage or reimbursement. Your benefits are an agreement between you and your insurance company and you are responsible for what your insurance does not cover. ​For online therapy, most insurances cover online therapy, but some plans do not. You are responsible for verifying your benefits. If you have eligibility concerns or questions, please contact your insurance provider directly.For all other insurances, I am  considered out-of-network and bill my full fee but do provide monthly billing statements for you to submit to your health insurance provider for reimbursement. I ask that you call your insurance and find out if they reimburse for out-of-network outpatient mental health services to assess what your reimbursement rates may be.​

sliding fees:

I do offer sliding scale fees for non-insurance users in financial need or clients that have an insurance plan that I am not contracted with. I am unable to provide sliding fees for clients who are looking to get reimbursement from their insurance plan. If you are facing financial or systemic barriers, please contact us to discuss sliding scale options so that you can still get mental wellness support if you're uninsured or experiencing economic hardship.

payment:

I accept payments via credit card and FSA/HSA only. 

"good faith estimate":

Under healthcare law, health care providers are now required as of 1/1/2022 to provide clients who do not have insurance or who are not using insurance an estimate of costs of services.

 

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services with Root & Rise LLC. I will provide one to you as part of your intake forms if you are not using insurance or agree to a sliding fee. You can also ask me or any other provider you choose, for a Good Faith Estimate before you schedule a service, or at any time during treatment.

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, or how to dispute a bill, see your Estimate, or visit https://www.cms.gov/nosurprises

confidentiality:



While I am in-network with some insurances, please be aware that using health insurance carries some risk to confidentiality, privacy, or future eligibility to obtain health or life insurance. 
 
Most insurance providers require a mental health diagnosis in order for therapy to be covered. Therefore, by utilizing your health insurance for billing purposes, I am required to give a mental health diagnosis and disclose personal health information about you even if the challenges you are going through are common, relational issues, stressors, or transitions that occur as individuals progress through natural life cycles. The information your insurance typically requests is limited to diagnoses and session dates, however, as a third party payer, electing to use health insurance means your health insurance company has a right to audit your mental health records at any time and I am obligated to provide mental health information to your insurance for the purposes of payment which may include additional personal health information such as progress notes and your mental health needs.
 
When you do not use your insurance, this information remains private and ensures your 100% confidentiality — outside of standard legal and ethical exceptions for healthcare professionals including mandated reporting for safety concerns not limited to suicide, child & elder abuse, and danger or intent to harm someone else or a group of people. 

 

privacy:

Keeping clients' personal information private is part of my ethical code and legal responsibilities as a healthcare professional. Please review my privacy policies to get details about the ways I gather, use, and manage the personal information of my clients.

have a Q
about using insurance?

While I recommend and ask clients to contact their insurance company directly to confirm their therapy coverage, I am happy to answer any additional questions you may have on using insurance for our sessions or to discuss fees and rates that meet your needs.

 

Thank you! I'll be in touch very soon.

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