Clear And Transparent

Fees

Payment — Private Pay Only

All sessions are private pay, and you are responsible for the full session fee at the time of service. I accept credit and debit card payments, which can be securely processed through the online booking system.

Out-of-Network With All Insurance Companies

I do not bill insurance directly. I am considered out-of-network with all insurance companies.

I can provide a monthly statement (called a Superbill) that you may submit to your insurance provider for partial reimbursement. Reimbursement varies widely by plan, and some plans reimburse nothing, so I encourage you to contact your insurer to confirm your out-of-network benefits before we begin.

How Out-of-Network Reimbursement Works

Your Superbill Includes

• Provider name, credentials, and contact information
• Your name
• Date(s) of service
• Diagnosis code(s) (when applicable)
• CPT/HCPCS codes
• Amount paid

Important to Know

• I do not bill insurance directly.
• All sessions are private pay.
• Reimbursement is not guaranteed.
• Coverage and reimbursement amounts vary by plan.
• You are responsible for any costs not covered by your insurance.
• I recommend contacting your insurance provider before beginning services to understand your out-of-network benefits.

Cancellation and No-Show Policy

Your appointment time is yours.

• Please provide at least 24 hours’ notice to cancel or reschedule.
• Cancellations made with less than 24 hours’ notice and missed appointments will incur a $100 fee.
• Cancellation and no-show fees are your responsibility.
• Arriving more than 15 minutes late may be considered a late cancellation and may result in a $100 fee.
• Exceptions for emergencies may be considered on a case-by-case basis.
• Repeated cancellations or missed appointments may affect your ability to reserve a recurring appointment time.

By scheduling an appointment, you acknowledge and agree to this policy.

Good Faith Estimate

Under federal law, clients who are uninsured or who choose not to use their commercial health insurance have the right to receive a Good Faith Estimate explaining the expected cost of their care.

You may request a Good Faith Estimate before scheduling services. If you receive a bill that is at least $400 more than your estimate, you may have the right to dispute the charge.

For more information, visit cms.gov/nosurprises or call 1-800-985-3059.