Do you take insurance?
I do not "take" insurance in the sense that I am not on any insurance company's in-network panel. If I were, insurance companies would pay me about 1/3 of what I need to bill in order to sustain my practice and make a living.
Can I still use out of network benefits?
Yes, these benefits allow people to see any doctor they wish but at a premium price. You can estimate how much therapy might cost by knowing the information below, which you can find by calling your insurance company or reviewing your benefits brochure.
Out-of-Network Variables (all of which get reset annually):
Deductible: the amount you pay before the insurance company starts to contribute.
"Recognized" or "Allowed" amount: the cost of therapy that your insurance company uses to calculate your co-insurance.
Co-insurance: the percent of the "allowed" amount that you are responsible to pay. Be warned: your insurance might say they pay XX%, but they will only pay XX% of the “Allowed” amount. You are responsible for the difference between my rate and the allowed amount.
Out-of-Pocket Maximum : some insurance companies set a limit on how much you spend per year. Once you reach this limit, the insurance company will pay for 100% of the cost! However, different insurance companies include or exclude different costs towards this maximum.
Some insurance companies limit the number of sessions you are allowed to have per year. You should know this number, too, so you are not hit with unexpected costs.
The insurance company might ask you for the procedure codes I might use. Here is the list of possible codes:
90834: Individual Psychotherapy
90846: Family Therapy without Patient
90847: Family Therapy with Patient
How do I submit insurance claims?
Mount Sinai will submit claims on your behalf at the end of every month. After a couple of months, the insurance company will send you a check for any part of the cost they cover.
How do I pay for therapy?
I prefer to keep a credit card on file and charge the card after every session.