Insurance
I accept CareFirst HMO (Blue Choice) and the Hopkins Employee Health Plan, and I process payments on patients’ behalf. Many other insurance providers provide out-of-network benefits.
While health insurance may be of benefit to you, using it also entails responsibilities and risks.
Please take care to review the following information:
Prior to the first session, patients must contact their provider to clarify and confirm their benefits.
I recommend patients ask:
It is patients’ responsibility to stay up-to-date with their insurance coverage and communicate with their insurance provider and with me.
Insurance companies have particular expectations for goals, outcomes, and plans for treatment. In essence, they function as a third party in the treatment. They maintain the right to review patients’ treatment, including patients’ Protected Health Information (PHI) - this information may include documentation of individual sessions and related information and reports. Insurance companies may deem treatment is not “medically necessary” and refuse payment.
Additional fees related to insurance coverage may include:
If confidentiality and the ability to engage in treatment without interference is important to you,
you may decide not to use your insurance coverage.
I accept CareFirst HMO (Blue Choice) and the Hopkins Employee Health Plan, and I process payments on patients’ behalf. Many other insurance providers provide out-of-network benefits.
While health insurance may be of benefit to you, using it also entails responsibilities and risks.
Please take care to review the following information:
Prior to the first session, patients must contact their provider to clarify and confirm their benefits.
I recommend patients ask:
- Do I have mental health insurance benefits for outpatient treatment?
- What is my deductible and has it been met?
- If in-network: what is my co-pay amount?
- If out-of-network: what is the reimbursement rate?
- When does my plan year begin and end?
- How many sessions per year does my health insurance cover?
- Do I need to obtain prior authorization from the insurance company prior to my first appointment?
It is patients’ responsibility to stay up-to-date with their insurance coverage and communicate with their insurance provider and with me.
Insurance companies have particular expectations for goals, outcomes, and plans for treatment. In essence, they function as a third party in the treatment. They maintain the right to review patients’ treatment, including patients’ Protected Health Information (PHI) - this information may include documentation of individual sessions and related information and reports. Insurance companies may deem treatment is not “medically necessary” and refuse payment.
Additional fees related to insurance coverage may include:
- the cost of my preparing documentation and reports.
- the cost of my faxing or mailing information the insurance company may request. I charge for the time involved as well as the dollar amount required to send the information.
- the cost of sessions that are not covered by insurance company (e.g. during gaps in coverage, or if an insurance company refuses to pay for treatment). These sessions are billed out-of-pocket at full fees.
If confidentiality and the ability to engage in treatment without interference is important to you,
you may decide not to use your insurance coverage.