Fees and Insurance Coverage.
We are an out-of-network, telehealth provider.
Our per session fees for individual psychotherapy, including supportive couples or family therapy sessions are $220-$300, for 45-minute sessions. For initial psychological evaluations, our fees are $295-$325. The rates for group sessions are $75-$110.
Non-administrative, clinical or crisis-related between-session contact that lasts between 5 and 30 minutes will incur an automatic charge of $150.
Neuropsychological and refugee/asylum evaluation fees vary based on need and can be discussed during a consultation.
24-hours notice is required for cancellations. Otherwise, all late cancellations or no-shows to sessions will incur an automatic $85 cancellation fee. This fee is not covered by insurance and is non-refundable.
We offer sliding scale options through our sliding scale application, which is available upon request.
Payment is due at the time of session and all fees are contingent upon provider type.
What qualifies as out-of-network insurance coverage?
Health insurance coverage and reimbursement is broken down into two categories: in-network and out-of-network. Typically, when a provider is in-network, it means that they partner with that insurance company to provide its members with therapy sessions. It is a long, arduous, and sometimes not beneficial process for providers to become in-network providers and as such, many opt to provider out of network services instead.
So what are out-of-network services? Your insurance covers the service, minus any co-pays or deductibles. Several health insurance plans provide partial coverage for providers out-of-network providers. If a provider is in network, the insurance plan has a different level of coverage for that provider. The best way to know what portion of your treatment is covered, it’s advised that you contact your insurance provider and ask about reimbursements for the following services:
Psychological Evaluation: 90791
Individual Psychotherapy: 90837
Group Psychotherapy: 90853
Couples or Family Therapy with Client Present: 90847
Couples or Family Therapy without Client Present: 90846
Do I have out-of-network insurance coverage?
By calling the number on the back of your insurance card, you will be able to gather information about whether you have this type of coverage and how much your plan covers. Some insurances have out-of-network reimbursement rates of upwards of 70% of the service cost, but each insurance carrier and plan may vary. To be safe, check with your insurance provider.
What about my annual deductible?
For all medical costs, including the cost of psychotherapy, your insurance will require that you meet your deductible before they pay out any reimbursements related to your care. Check with your insurance to see if out-of-network costs are factored into your deductible.
Does my flexible spending account or health savings account (HSA) cover therapy sessions?
Most FSA and HSA plans cover the cost of psychotherapy services. You can submit a claim through your FSA or HSA portal to receive reimbursement for your sessions.
Out-of-network benefits checker.
How do I get reimbursed?
Our practice will offer you a superbill after the completion of your session. You can download this document within your patient portal and submit it to your insurance for reimbursement.
Are there any alternative methods to procure reimbursement?
You also have the option of submitting claims through Mentaya, a secure and HIPAA compliant platform that helps you get your maximum reimbursement quicker and more efficient. Mentaya helps you get reimbursed by connecting to your medical insurance company and automatically tracking your deductible and coverage. You’ll have your reimbursement routed to your bank and have the Mentaya platform follow up on claim denials to ensure you get the reimbursement you are entitled to. Mentaya charges They charge a 5% per claim (e.g. $200 session = $10 per claim), which includes a successful claim submission – or your money back. Break the Cycle has no affiliation with Mentaya and does not collect fees for any reimbursement services. We are a completely independent company but see this as a healthy option for clients who want to take the hassle off reimbursements.