ASK YOUR INSURANCE COMPANY:

Coverage

Do I have outpatient mental health coverage?

Deductible

Do I have a deductible that applies to mental health services? How much is it? How much have I met? When does it renew?

Copayment

What is my copayment or coinsurance amount for 90837? **Your initial session will be coded as 90791, which sometimes has a slightly higher coinsurance amount.

Services & Fees

FAQs

  • I am not currently enrolled with any state Medicaid programs.

  • I am not currently enrolled in any Medicare Advantage Plans. I am a traditional Medicare Part B provider and can typically accept secondary insurances that pay your coinsurance, except in the case of state Medicaid plans.

  • Telehealth services are considered healthcare delivered to the location where the client is, and I need to be licensed in the state you are located in to be permitted to provide services. I’m currently licensed or otherwise able to practice in West Virginia, Virginia, South Carolina, & Florida.

  • Yes, I have a limited number of pro bono and sliding scale/reduced fee sessions. Please contact me about availability if you are in need; we may be able to negotiate a fair rate for your services that is reevaluated every 6 or 12 months.

  • Your deductible is the amount you need to pay out-of-pocket for therapy (and other medical care) each year before your insurance starts covering sessions. This is typically between $100-$200 per session for the insurances I am in network with, which is what you would owe until you hit the deductible threshold. Deductibles are often $1,000-$5,000, depending on your insurance plan, but not all plans include deductibles.

  • Your copayment is the amount your insurance company expects you to pay for your medical appointments.

    Sometimes therapy is the same as your PCP copayment, and sometimes it is considered a specialist copayment amount. Copays are typically between $15-$50 per session, depending on your insurance plan. This amount does not change based on the length of your session.

    Coinsurance means that your payment amount due per session is a percentage of the contractual amount insurance is willing to reimburse, so for example if your insurance contract allows $200/hour and your copayment is 20%, you would owe $40 per session. This amount would fluctuate based on the length of your session and between intake and regular sessions.

  • Yes! Simple Practice offers a secure way for me to accept credit card payments, and I can also accept payments from HSA or FSA cards.