I am an out-of-network provider and do not directly bill insurance for treatment except for Harvard Pilgrim, Optum, and Tufts Public plans. Some benefits as an out-of-network provider include more privacy and more autonomy in our work together. However, I’ve found that many insurance companies will cover my services as an out-of-network provider with a DSM-V diagnosis. If you have a PPO, I can provide a “super bill” that you could submit to your insurance company for possible reimbursement of their rate. A super bill is a detailed record of payment with special codes for what kind of service was provided along with my license number. I recommend calling your insurance to find out what reimbursement will look like for an out-of-network provider, as reimbursement is not always guaranteed. If you’re hoping to find an in-network provider, your insurance directory or Psychology Today are helpful directories.

You have the right to receive a “Good Faith Estimate” explaining how much your mental health care may cost. Since I do not accept insurance, I am required to provide an estimate of the expected charges for medical services, including psychotherapy services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.

While it is not possible for a psychotherapist to know, in advance, how many psychotherapy sessions may be necessary or appropriate for a given person, the estimate provides an idea of the costs involved. Your total cost of services will depend upon the number of psychotherapy sessions you attend, your individual circumstances, and the type and amount of services that are provided to you. This estimate is not a contract and does not obligate you to obtain any services from the provider(s), nor does it include any services rendered to you that are not identified here. Good Faith Estimates are not intended to serve as a recommendation for treatment or a prediction that you may need to attend a specified number of psychotherapy visits. The number of visits that are appropriate in your case, and the estimated cost for those services, depends on your needs and what you agree to in consultation with your therapist. You are entitled to disagree with any recommendations made to you concerning your treatment and you may discontinue treatment at any time.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith

Estimate. For questions or more information about your right to a Good Faith Estimate, please visit www.cms.gov/nosurprises