Do you take insurance?

Anthem

What is the out of pocket cost if you do not take my insurance?

$150 per 50 minute session

Do you prescribe medication?

As an LCPC, I do not prescribe any medication. Psychotropic medication is prescribed by Psychiatrists and Psychiatric Nurse Practitioners. I am familiar with medications but not able to give guidance or tell another practitioner what to prescribe to you. I often communicate with medication prescribers if you request us to do so in order to help them better help you.

Does what we talk about in therapy remain confidential?

Camden/Rockport, and surrounding areas can feel like a small neighborhood. I understand that this can be a concern. Confidentiality is one of the most important components between a client and psychotherapist. Successful therapy requires a high degree of trust with highly sensitive subject matter that is usually not discussed anywhere but the therapist’s office. 

State law and professional ethics require therapists to maintain confidentiality except for the following situations:

 * Suspected past or present abuse or neglect of children, adults, and elders to the authorities, including Child Protection and law enforcement, based on information provided by the client.

* If the therapist has reason to suspect the client is seriously in danger of harming him/herself or has threatened to harm another person.

Information for Out-of-Network Benefits

Not all insurance companies reimburse for out-of-network providers; however, most insurance companies that provide out-of-network benefits cover between 50%-75% of the cost per session. Coverage for my services will vary depending on your health insurance provider and specific plan. I will provide the necessary “superbill form” to submit for out-of-network claim filing.

You can call your insurance company and ask the following questions to determine your mental health coverage and out-of-network benefits:

• Does my insurance plan have out-of-network mental health (behavioral health) benefits? 

• Do I have an out-of-network deductible that has to be met first before I get reimbursed?

• If I do have a deductible, has any of it been covered yet this year? 

• What is the "usual, customary, and reasonable fee" covered by my insurance for "outpatient psychotherapy” (CPT codes 90834 and 90791)?

• How much of the fee does my insurance cover? This is usually a percentage.

• Is there a session limit?

• What paperwork is required to submit claims for out-of-network reimbursement? (This is usually called a "superbill" and also a claims form, ask where you can find their claims form)

• Where do I submit this paperwork? (Sometimes it's online, sometimes it's by mail only)