Payment for Services: Insurance & Fees
As a provider of mental health services, we specialize in working with health insurance payors to reduce the costs of our services for our clients. Our dedicated billing team navigates the insurance billing process to allow our clients to focus on their wellness journey, plan of care, process of healing or recovery. We believe in providing our clients with the ability to utilize their health insurance plans and the opportunity to be reimbursed by their health insurance company. Oftentimes, insurance companies will provide full or partial payment of the costs for medically necessary services, while in-network and out-of-network benefits may vary based on the insurance plan.
In-Network Insurance Payors
If you have an in-network health insurance plan outside of the Maryland or Washington, D.C. area, we can assist verifying your insurance benefits before starting services. We always encourage clients to contact a representative of their health insurance plan to confirm their benefits for in-work or available benefits for out-of- state providers.
We have providers that are considered an In-Network provider with the following health insurance payors:
All BCBS regional plans, specifically including
BlueCross BlueShield (BCBS)
CareFirst
Cigna
EverNorth Healthcare Services
Johns Hopkins EHP
Johns Hopkins USFHP
United Healthcare
Optum
UMR
TriCare
All BCBS regional plans, specifically including
CareFirst
Anthem BlueCross BlueShield
Blue Cross Blue Choice
Out-Of-Network Insurance Payors
For all other insurance plans, we are considered an Out-of-Network provider and fees for services may be considered out-of-pocket expenses. As part of our goal to support you as our client, we have the administrative support resources to navigate and manage the billing process for Out-of-Network benefits. We can provide superbills, documentation or directly send claims to your insurance for reimbursement. Often, health insurance plans with Out-of-Network benefits will reimburse part of the costs for services, while in some instances the benefits will cover the entire costs for services.
Out of Pocket Fees (Self-Pay Rates) for Counseling & Psychotherapy
Phone Consultation: Free
It is important you feel positive about your therapist and the therapy process before committing. For that reason, we offer a free 15-minute phone or video consultation to provide you an opportunity for you to discuss your concerns and goals for therapy. During that time, your therapist will explain their approach and review how therapy may help you, so that you can determine whether the therapist is the best fit for your needs.
Individual Counseling & Psychotherapy Services
Initial Intake Session | $160.00 - $190.00
Individual Session (30 minutes) | $100.00 - $120.00
Individual Session (45 minutes) | $120.00 - $140.00
Individual Session (53-60 minutes) | $130.00 - $160.00
Family Session | $120.00 - $160.00
Play & Expressive Therapy | $160.00 - $195.00
Consulting & Supervision Services
LGPC/LMSW Individual (60 Minutes) | $100.00
Group Supervision (2+ Supervisees) | $50.00 / Each Participant / Per Hour
Clinical & Professional Consultation | $120.00
Teams & Organizations | Contact for Pricing
Administrative Support Services
We provide free administrative support clients to all of our in-network, out-of-network and self-paying clients. Our administrative support team and billing specialist will assist you with your insurance and billing needs including;
Verifying your insurance benefits before starting services
Providing an estimated cost for services
Managing referral information and prior authorization requirements from your insurance company
Directly submitting billing to your insurance plan to receive reimbursement directly from the insurance company
Explaining charges related to services and or insurance plan reimbursements
Providing you with statements for record keeping
Assisting in contacting your insurance company to address issues related to claims processing or denied payments
No Surprises Act-Disclosure
You are entitled to the “No Surprises Act- Disclosure”.
This documents will be shared with you electronically before and or during your first appointment.
YOUR RIGHTS AND PROTECTIONS AGAINST SURPRISE MEDICAL BILLS
(OMB Control Number: 0938-1401)
When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
If you believe you’ve been wrongly billed, you may contact the Maryland Consumer Protection Division’s Health Education and Advocacy Unit at 410-528-1840 or toll-free at 1-877-261-8807 for more information about your rights under Maryland state laws.
For more information about your rights under federal law and to obtain information about dispute resolution processes, visit the Center for Medicare & Medicaid Services (CMS) or you can review Disclosure notice regarding patient protections against surprise billing
Good Faith Estimate
As of January 1, 2022, state-licensed or certified health care providers must provide a Good Faith Estimate (GFE) of expected healthcare charges for health care services or items to a client who is either uninsured or is not planning to submit a claim to their insurance for the healthcare services they seek.
There are specific rules for what information has to be in that estimate and when it has to be provided, as well as the need for providers to inform every uninsured or self-pay client of their right to receive a Good Faith Estimate with the goal being to protect clients from surprise billing by providing cost transparency.
Disclaimer: A Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs for an item or service, as you have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. The estimate is based on information known at the time the estimate is created, and may not include any unknown or unexpected costs that may arise during treatment. The provider may recommend additional items or services as part of the treatment that are not reflected in the estimate. These would need to be scheduled separately. The information provided in the Good Faith Estimate is only an estimate, as actual items, services, or charges may differ. The client has the right to engage in a dispute resolution process if the actual costs of services significantly exceed those listed in the Good Faith Estimate. The Good Faith Estimate does not obligate or require the client to obtain any of the listed services from the provider.
Throughout your treatment, your provider may recommend additional items or services as part of your treatment that are not reflected in the Good Faith Estimate. These would need to be scheduled separately with your consent and the understanding that any additional service costs are in addition to the Good Faith Estimate.If your needs change during treatment, your provider should supply a new, updated Good Faith Estimate to reflect the changes to treatment, and the accompanying cost changes.
If you are billed for more than this Good Faith Estimate, you have the right to dispute the bill. You may contact the health care provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available.
The Good Faith Estimate is not a contract between provider and client and does not obligate or require the client to obtain any of the listed services from the provider. You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill.
There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount.
To learn more and get a form to start the process, go to www.cms.gov/nosurprises or call HHS at (800) 985-3059. For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call (800) 985-3059.
It is imperative to keep a copy of this Good Faith Estimate in a safe place or take pictures of it. You may need it if you are billed a higher amount. Additionally, the federal Centers for Medicare and Medicaid Services (CMS) has a detailed fact sheet and list of frequently asked questions on the law, as well as a whole website focused on No Surprises Act implementation.