Fees & Insurance Information

Fees & Insurance Information

FEE FOR THERAPY SERVICES

Please call our practice to receive detailed information about scheduling your first session and fee for service. Fees are consistent with doctoral and master level specialty providers.

Fee for an initial psychiatric diagnostic evaluation is $200.00. Fee for a 55-60 minute session thereafter is $175.00. We can provide you with additional fee based information if you are interested in couples therapy, and/or session time that exceeds 55-60 minutes.

Behavioral Health and Trauma Recovery Services, P.C. accepts Tricare West insurance for military members and beneficiaries. If you choose to use Tricare West to pay for your mental health services, please read below for the limitations that insurance can sometimes place on your medical care, and please note the information that will have to be released if you choose to use insurance.

Behavioral Health and Trauma Recovery Services, P.C. is considered an “out-of-network” provider/service. This means that the full fee is due at the time of service. If you are not a Tricare West beneficiary, then fee is due at the time of service. Cash, Check, or Credit Card is accepted. This may include a Health Savings Account (HSA) or Flexible Spending Account (FSA). The practice does not directly bill your insurance. Instead, you will be provided with the required form (superbill) that has all the necessary information you will need in order to submit to your insurance company for reimbursement, should you desire to do so.

INSURANCE

Behavioral Health and Trauma Recovery Services, P.C. is considered a “network” provider for Tricare West insurance. Your treating provider will verify eligibility prior to your first session. You may be responsible for a copay per session, paid at time of service. If you have an out of pocket deductible that needs to be met, you will be responsible for paying any and all fees at the time of service, as dictated by Tricare West, until your deductible is met in full.

IMPORTANT REASONS WHY INSURANCE IS NOT BILLED DIRECTLY

• Our practice takes great care to protect your confidentiality. Your mental health records are highly privileged records and you should be the one to release such sensitive information to your insurance company, in the form that you wish for it to be released.

• Insurance companies exercise a lot of control over your mental health care by way of limiting the number, length, and frequency of therapy sessions. Insurance companies often request progress notes with private details about your sessions, require a mental health diagnosis, and they can dictate what they think your treatment plan should be. Managed care rules may not always meet best practice guidelines which can lead to reduced treatment effectiveness and premature termination from therapy. A mental health diagnosis has to be associated with your medical record in order to bill insurance, and this can sometimes impact employment or career goals, prevent enrollment in certain education programs, prevent enlistment into the military, and/or restrict holding appointment at the FBI or other federal agencies.

• You are encouraged to inquire with your insurance company as to what your out-of-network health benefits are and if you need to meet a deductible first. In some cases insurance carriers will have you pay out of pocket initially for mental health services in order to meet your deductible. We can provide you with a superbill to submit to your insurance company, and based on your health insurance, they will determine reimbursement rate options.

To get started, please contact us today, we would love to hear from you!

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