Fees

Please contact us directly for questions about fees for therapy services. 

 

Payment is expected at the time of service. Credit cards, checks, and cash are accepted. 

Insurance

We are in-network providers with many BCBS plans. All other insurance plans are considered “out-of-network” and we provide a Superbill for you to easily submit claims to out of network insurances. Many of our patients receive between 60% to 80% reimbursement.

 

Some plans require that a deductible be met before reimbursement can occur. Please be aware that not all insurance companies reimburse for out-of-network providers. It is your responsibility to contact your insurance to discuss your out-of-network provider benefits and the claim filing procedures of your insurance company. The codes often used include 90791 for the initial evaluation and 90834, 90837, or 90847 for psychotherapy. We are happy to provide you with the required paperwork to attain reimbursement from your insurance provider and/or submit claims on your behalf.  

Questions to ask your insurance company

Do I need a referral from my primary care physician, and/or need prior authorization from my insurance company?

Who covers my mental health benefits?

Sometimes insurance companies carve out mental health treatment to other entities to manage mental/behavioral health treatment

 

Do I have teletherapy benefits and if yes, what are they? What codes are necessary to submit to the insurance? Are there limits?

What, if any, are my co-payments or co-insurance?

 

Do I have a deductible? If yes, how much of my deductible has been met to date?

Does my policy have an out-of-pocket maximum?

If my therapist is not in my insurance network:

What percentage of my bill will be paid by the insurance company?

Is the percentage of my bill paid by the insurance company based on usual, customary, and reasonable (UCR) schedules or on the actual charges?

Is there an out-of-network deductible that must be met? If yes, what is it?

 

Does my policy have an out-of-pocket maximum?

It is a good idea to note the date of your call and the name of the person you spoke with.

LET US SUPPORT YOU

Reaching out takes courage.

We are here to help when you need us.

Pinky promise.

351 Manville Rd, Suite 104

Pleasantville, NY 10570

222 West 83rd Street

New York, NY 10024

156 East 30th Street

New York, NY 10016

 

914-488-4717

info@pleasantvilletherapy.com

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