FEES AND PAYMENT PROCESS

I am not contracted with insurance panels. I am self-pay and out of network (OON) only. 

For those who use OON insurance: I utilize Thrizer (https://www.thrizer.com/) to help clients determine OON benefits and support with claims processing! Thrizer can screen your insurance to determine your benefits. I can also provide Superbills if you want to process claims yourself.

In addition to processing through Thrizer, I accept check, HSA/FSA, and credit cards.

My rate for standard therapy sessions (typically 1-hour) are $200.

Individual intake and extended sessions are $300 (typically 1.5-hours).

Skills training rates can be found on the skills training webpage.

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Why do I not take insurance? I do not take insurance for a few reasons. 

 

I often get approved for Out of Network benefits (OON) and often am approved for those with insurance plans that do not have OON due to my specialty of DBT, a rarity in Central Massachusetts.  2. Many also use health savings plans, have a PPO, or high deductible.  Accepted methods of payments are cash, check, and credit card including health saving accounts.

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Many providers aren't getting paid by in-network insurance companies. I don't have time to chase claims. I found it takes away from my duties as a clinician. It can take between 2-3 hours unpaid time to resubmit and chase money owed for sessions provided. 

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I provide more than insurances pay for and navigating various insurance companies takes away from providing treatment.

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I am a certified DBT therapist, a rarity in the field. For details, see: https://dbt-lbc.org/. I have a commitment to do DBT to fidelity, not modify as I feel like or prefer.  You deserve the best and you get my best. Insurance companies don't respect my expertise and my skills are charged the same as a general practitioner and a therapist just out of school.

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I am well trained and very experienced.  I deserve to be compensated at a competitive rate and despite this expectation, my rates are lower than many therapists' self-pay rates who don't have specialties or my level of experience. I am not experienced in medical billing nor want to be.

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You get high quality service by me, a highly trained specialist.  Of course, I completely understand if this is not an option and will be glad to refer you the best I can. 

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Please contact me by email.
 

What do your fees cover? As you read, you'll realize that I should charge more!

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Intake setup - adding clients to my electronic health record, administering intake packet, reading intakes and all documents before intake appointments, writing intakes, developing a plan for treatment, and of course the intake itself! There's more but you get my drift!

 

For weekly sessions - this includes therapy, writing progress notes, editing any plans, and doing specialized assessment forms.

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For DBT coaching - being available outside of session, returning calls, talking on the phone to DBT clients (who are often distressed) during personal time, documenting calls.

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Case management is generally free upon reason, This includes phone calls, completing paperwork, faxing/emailing, and connecting with other providers.

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Please note, lengthy phone consultations or discussions with family members may be subject to fee at rate of typical fee per hour.  Most of the time a session is scheduled and if not, consent is granted during the phone call. 

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DBT consultation team with other DBT therapists is free to clients.

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Specialized consultation outside formal team meeting to ensure quality care is most often free to clients and often a fee paid to the consultant for their time.

 

Attending a meeting like an IEP or interview of state services:  Session rate for the meeting plus travel time. Completing assessments for school, depending on extent of paperwork, might be free to the client or charged a session rate.

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Any formal court proceedings:  Client’s rate/hour of paperwork preparation.  $350/hour for any interviews, proceedings, and may or may not include travel.

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Accepted forms of payment, cash, check, credit card, and health savings card.

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Do you have questions about fees?  Contact me to discuss further.