Professional Fees and No Surprises Act Notice

My standard hourly fee is $200. 

This fee applies to any 50-60 minute session, whether it be an intake or individual session. Report and letter writing is also billed at this hourly rate.  Other services are covered in my service agreement and will be discussed with individual clients/patients.

My goal is to make therapy affordable and accessible, so I am willing to work with you on a sliding scale based on financial need. Please feel free to contact me to discuss your needs. 

Good Faith Estimate Effective January 1, 2022, a law went into effect called the "No Surprises Act" which requires medical professionals including psychologist and other therapists to provide a "Good Faith Estimate" (GFE) about out-of-network care or care for individuals that are considered “self-pay”.  The Good Faith Estimate works to show the cost of services and supplies that are reasonably expected for your health care needs including a diagnosis, and a reason for therapy. The estimate is based on information known at the time the estimate was created. Due to the nature of therapy and the ever-changing information provided and gathered this can change over the course of treatment. 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 and will be provided a new "Good Faith Estimate" should this occur. If this happens, federal law allows you to dispute (appeal) the bill if you and your therapist have not previously talked about the change and you have not been given an updated good faith estimate.

Under Section 2799B-6 of the Public Health Service Act (PHSA) health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request, or at the time of scheduling health care items and services to receive a "Good Faith Estimate" of expected charges. Note: The PHSA and GFE does not currently apply to any clients who are using insurance benefits, including those considered “out of network” benefits (i.e., submitting Superbills to insurance for reimbursement). Although I am currently not taking insurance I am happy to provide a Superbill for patients who would like to submit to their insurance companies for possible reimbursement under an “out of network” service. Please contact your insurance company for information regarding your plan. I will still provide all patients with a GFE for care.

Timeline requirements: Practitioners are required to provide a good faith estimate of expected charges for a scheduled or requested service, including items or services that are reasonably expected to be provided in conjunction with such scheduled or requested item or service.” That estimate must be provided within specified timeframes:

If scheduled at least three (3) business days prior to appointment date – NLT one (1) business day after scheduling.

If scheduled at least 10 business days prior to appointment date – NLT three (3) business days after the date of scheduling

If a request is made by a self-pay or uninsured patient is made without scheduling an appointment NLT three (3) days after the request for a good faith estimate is made.

A new good faith estimate must be provided, within the specified timeframes if the patient reschedules the requested item or service.

For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call 800-985-3059.