Payment and Insurance
We do not accept insurance. All appointments are considered fee-for-service, meaning you are expected to pay the appointment fee at the time of service. Most individuals are reimbursed by insurance companies at the “out-of-network” rate. Credit cards, checks, and cash are accepted. You may also be able to use a health savings account.
We have several doctoral-level externs who are supervised by licensed psychologists. The fee for their services is $125/session.
In general, our services for individual therapy, medication management, skills classes/groups, and intensive programming range from $200-$400 per hour.
We charge $75 for case management fees (e.g., printing invoices or other documents, letter writing, IEP meetings, or other treatment planning). There is a $25 fee for printed record request.
Clients are discouraged from having their clinician subpoenaed or requesting they provide records for the purpose of litigation. Even though you are responsible for the testimony fee (see informed consent for fees), it does not mean that your clinician’s testimony will be solely in your favor. Your clinician can only testify to the facts of the case and to their professional opinion in regards to you, the patient. Your clinician would rather not damage the trust and relationship that has been built. PBS can provide referral information for providers who are routinely involved in legal matters.
Is DBT Cost Effective?
Accumulating evidence indicates that DBT reduces the cost of treatment. For example, the American Psychiatric Association (1998) estimated that DBT decreased costs by 56% – when comparing the treatment year with the year prior to treatment – in a community-based program. In particular, reductions were evident by decreased face-to-face emergency services contact (80%), hospital days (77%), partial hospitalizations (76%), and crises bed days (56%). The decrease in hospital costs (~$26,000 per client) far outweighed the outpatient services cost increase (~$6,500 per client). Learn more here.
Submitting Claims to Insurance for Out-of-Network Reimbursement
If you have health insurance you may have out-of-network benefits that could cover a percentage of your appointment fees. In order to determine if your insurance company will reimburse you for the cost of therapy or dietitian appointments, it is recommended that you contact them directly. We will gladly provide you with an invoice to submit for session reimbursement.
Questions to Ask Your Insurance Company to Determine Reimbursement Eligibility:
Do I have out-of-network benefits to see a licensed psychologist and/or registered dietitian? Provide the following CPT codes to your insurance company representative:
Psychiatrist: initial session 90792 and follow-up sessions 99214 (25 mins) or 99215 (40 mins)
Psychologist: initial session 90791 and follow-up sessions 90834
Dietitian: initial session 97802 and follow-up sessions 97803
If yes, what percentage do you cover and is that a percentage of the total fee or the “usual and customary fee?”
If it is a percentage of the “usual and customary fee,” what is that amount?
Is preauthorization required in order to submit an out-of-network claim?
What is the deductible, and how much of the deductible have I met?
How many sessions are covered and within what time period?
What forms do I need to submit to qualify for reimbursement?