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Bloom

Insurance Accepted

I am credentialed on several insurance panels including:

Anthem,

Medicare,

Magellan,

Tricare East,

Meritain,

New Avenues (EAP),

United Health Care,

& Sagamore

  

·I am NOT able to accept any Medicaid or HIP·

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Please contact your insurance provider to learn about your benefits and coverage including your deductibles and your co-payments prior to starting services.

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Standard Fee Agreement:

  • Code: 90791 - Initial Diagnostic Evaluation (1 hour) - $150.00

  • Code: 90834 - Psychotherapy (38-52 Minutes) - $120.00

  • Code: 90837 - Psychotherapy (52-60 Minutes) - $140.00

  • Code: 90839 - Psychotherapy for a Crisis (30-74 Minutes) - $120.00

  • Code: 90839 - Psychotherapy for Crisis (Add on Code for additional 30 minutes) - $50.00

  • Code: 90846 - Family Psychotherapy without Patient Present (50 Minutes) - $140.00

  • Code: 90847 - Family Psychotherapy with Patient (50 Minutes) - $140.00

  • Missed Appointment with less than 24 Hour Notice from the time of your scheduled appointment. This is not covered by insurance) - $50.00

  • Legal Fees - Will be charged for time away from the office (including travel time) at $200 per hour

  • *Additional fees may be incurred in a crisis situation or for longer sessions. Please discuss any questions or concerns you may have with your therapist. Fees are also subject to change based on your insurance coverage.

 

Co-pays and payments are expected at the time of service.

Payments accepted: Cash, Visa, MasterCard, and Discover processed through the Square Credit Card processing system. Personal checks are also accepted, however, if charges are incurred clients are responsible for fees. Client's will be asked to keep a credit card will be on file for outstanding payments. Payments should be made at least on a monthly basis to ensure services are not interrupted and therapist has the right to stop services and refer to another provider if payments are not made.

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