Fees & Insurance

A practice you work with directly.

The Center is an out-of-network practice. That is a deliberate decision, and it shapes what your treatment can be: how private it stays, how long it lasts, and who decides what happens in it.

The Decision

Not a participating provider, by choice.

Our clinicians have made the careful decision not to be participating providers for managed care programs. A participating provider is, in practical terms, working for the insurance company. The arrangement here is a direct and private one between you and your clinician.

Many people prefer to work with a therapist outside their insurance plan, and the reasons are worth stating plainly.

What that protects.

Privacy

An out-of-network practice is not required to share a great deal of your personal information and history with an insurance company. What you say in the room stays in a much smaller circle.

Decisions made together

The methods used and the length of the work are settled between you and your clinician, rather than by a third party with no part in the treatment.

No imposed limits

Treatment is not confined to a set number of sessions, or to protocols an insurer has chosen in order to control its costs.

Transparency about cost

Fees are discussed openly before any commitment, and sliding-scale availability can be negotiated by mutual agreement in some circumstances.

Reimbursement

Using your own plan's out-of-network benefits.

Every invoice comes with a statement, called a superbill, that you can submit to your insurance company. If your plan permits you to work with an out-of-network provider, reimbursement follows your plan's provisions. The superbill carries what payers require: dates of service, service codes, the diagnosis, provider identifiers, and the Tax ID.

Coverage varies widely. Before relying on reimbursement, it is worth asking your plan directly what it pays for out-of-network outpatient mental health services, whether a deductible applies, and whether anything beyond a superbill is required.

Fees are paid to the Center under the terms of the agreement you sign at the start of treatment, ordinarily at the time of service. Reimbursement is a matter between you and your insurance company; a plan's decision to pay, delay, or deny does not change the balance owed to the practice.