Fees
The Vestibular Psychologist, PC, is a self-pay practice. This means that I do not contract with any insurance companies. Rather, I am considered an “out of network” provider. When you work with me, you pay me directly via debit or credit card (including HSA cards).
Vestibular Roadmap Consultation (CPT 90791): $400
This includes my time reviewing your paperwork prior to our appointment, the 60 minute appointment, and my time afterward locating referrals in your area
Initial assessment prior to starting individual therapy, if we collaboratively determine that working together is a good fit (CPT 90791): $400
60 minute appointment
Individual therapy session (CPT 90834): $300
This is a 45-50 minute therapy session on a short-term basis (~12 sessions)
Group therapy session (CPT 90853): $75/person, paid in advance for 4 sessions each month ($300 billed on the first of each month)
This is a 60 minute therapy session
Letters/completion of forms (e.g., disability): Fee dependent on time reviewing your records and drafting letters/forms (note: I do not write emotional support animal [ESA] letters). Billed at $400/hour, prorated.
I know that money is an important issue and I have chosen this model for a number of reasons. Self-pay avoids any unexpected or hidden medical costs; you are aware of all costs up front. Additionally, you and I will have complete control over your treatment duration including number and frequency of sessions. We will decide how many sessions you need rather than your insurance carrier.
If you hope to use insurance, there is some good news! Many insurance companies will reimburse for licensed professionals who are out-of-network providers.
Most insurance companies require that you submit an out of network claim form along with an itemized billing statement (i.e., a “superbill"). You will receive these billing statements to submit to your insurance for reimbursement. The insurance company will directly reimburse you.
Working with insurance companies can be overwhelming! Here are some questions you might ask to help get a better idea about reimbursement:
Do I have out-of-network coverage?
Do I have mental health coverage?
Do I have a deductible and has it been met?
Do I need preapproval from a primary care physician to see a mental health provider?
How many mental health sessions are covered?
How much will I be reimbursed for the following CPT codes?
Initial assessment: CPT 90791
Individual follow-up session: CPT 90834
Group follow-up session: CPT 90853
Scheduling and Cancellation Policy
A credit card is required to be on file within 24 hours of scheduling your initial evaluation to reserve your appointment. All practice paperwork is due at least 48 hours before your initial assessment appointment so I have time to review it and begin writing your report. The full initial assessment fee will assessed if paperwork is not complete at least 48 hours prior to your initial assessment and your appointment will be forfeited.
Because I see a limited number of patients, I am unable to fill your appointment time in the event that you cancel with 48 hours notice or less. Please be sure to give me at least 48 hours notice to cancel or reschedule your appointment to avoid paying the full session fee.
Group sessions are prepaid each month and non-refundable.
Note: insurance companies do not reimburse for cancelled sessions.
Good Faith Estimate
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. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
Make sure your health care provider gives you a Good Faith Estimate in writing at least one 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 www.cms.gov/nosurprises or call (484)679-6299. You can also visit: https://www.insurance.pa.gov/Coverage/health-insurance/no-surprises-act/Pages/default.aspx