Rates & Insurance

Insurance

Revitalize Wellness Counseling is an out-of-network provider. This means your insurance would not be billed directly. However, you have two options for utilizing your insurance benefits. Depending on your current health insurance provider you may be eligible for out of network benefits. I am partnered with a company called Mentaya, which submits your out-of-network claims for you. Mentaya will work with your insurance to get you the highest reimbursement for your therapy services. Use the tool below to see if you qualify for reimbursement.

Mentaya could be a perfect fit for you if:

• You have out of network benefits

• You feel overwhelmed by superbills and insurance

• You have submitted superbills but failed to get any reimbursement

• You want to skip the hassle of paperwork

Mentaya charges a 5% fee per claim, which includes handling any paperwork required, dealing with denials, and calling insurance companies.

It's risk-free: Mentaya guarantees claims are successfully submitted, or a full refund of their 5% claim fees.

For other questions about Mentaya check out their website. I’d also be happy to address and concerns or questions for you!

I would also be happy to provide you with a superbill, which you can submit to your insurance company directly for reimbursement at no cost to you. A superbill serves as a receipt of therapy sessions, and is very commonly accepted. I recommend you call your insurance company to see if out of network benefits are provided for therapy and how much your out of network deductible may be. (See below for steps to take when contacting your insurance for out-of-network benefits.) Once a month you will receive an superbill that you can submit to your insurance provider for out of network benefits.

You can read about why I have chosen to be out-of-network with insurance companies in this blog post.

Rates

  • Consultation (20-minutes)—free of charge

  • Individual Therapy Sessions (45-55 minutes)—$175

    A Good Faith Estimate is available upon request and will be provided prior to your first session.

Payment

Payment is accepted via debit and all major credit cards through a secure credit card processing system. Due to the nature of telehealth, cash or check payments are not available options. Payment is due at the time of your session. A credit card is required to confirm and hold all appointments. HSA/FSA cards are also accepted, but an alternative credit card is still required to be on file.

Sliding Scale

Revitalize Wellness Counseling is part of the Open Path Psychotherapy Collective. It is through Open Path Collective that a limited amount of slots are offered on a sliding scale, and are on a first come, first serve basis.

Cancellation Policy

Therapy is a shared commitment. I understand that stuff happens and schedules change, and I try to be as flexible as possible. However, because your time spot is reserved for you, I do have a cancellation policy. If you cancel less than 24 hours before your scheduled session or if you do not show up for your scheduled session, you are responsible for your full session fee.

Steps For You To Directly Utilize Your Out-of-Network Benefits (i.e. Not Mentaya)

(1) Contact your insurance company and ask them:

  • Does my health insurance plan include out-of-network mental health benefits? If so, does that include Telehealth coverage?

  • Do I have a deductible or a co-pay? If so, what is it and have I met it yet?

  • Does my plan limit how many sessions per calendar year I can have? If so, what is the limit?

  • Do I need written approval from my primary care physician in order for services to be covered?

  • Are the following CPT (billing) codes for psychotherapy sessions covered?:

    90791 (Intake Assessment/Diagnostic Evaluation)

    90834 (37-52 minute Individual Therapy session)

    90837 (53+ minute Individual Therapy session)

  • How do I submit Superbills for reimbursement? (Most insurance companies allow for Superbills to be submitted via their website)

(2) Tell your therapist that you plan to use your out-of-network benefits.

(3) You pay the full fee for service at the beginning of each session.

(4) Your therapist will provide you with a Superbill.

(5) You can then turn in your Superbill to your insurance company.

(6) Your insurance company processes your claims and reimburse you the maximum allowed amount under your insurance plan.

Good Faith Estimate

As of January 1, 2022, under section 2799B-6 of the Public Health Service Act, 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.

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services (including related costs such as medical tests, prescription drugs, equipment, and hospital fees).

Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

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 visit cms.gov/nosurprises

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