Taking the first step toward seeing a therapist can be a daunting idea for some and you may not know what to expect. Below are some answers to questions you might be thinking about.
Cost
What does it cost? How do I pay for therapy?
Ongoing telehealth services are billed at $225 per 50 minute session and $275 for 60-75 minute initial intake session. Payment will be collected each time you meet with your therapist. We accept electronic forms of payment including, Zelle/Venmo, HSA, and credit cards.
Under PSYPACT, Dr. Florez offers telehealth in 38 states, including AL, AZ, AR, CT, CO, DE, DC, GA, FL, ID, IL, IN, KS, KY, ME, MD, MN, MI, MN, MO, NE, NV, NH, NJ, NC, OH, OK, PA, TN, TX, UT, VA, WA, WV, WI and WY. New states will be noted when legislation is passed.
Initial and ongoing sessions
What should I expect from the initial meeting?
The therapeutic relationship is going to be the building block for your growth and healing. It is important that you feel comfortable and confident with your therapist. During the initial appointment we will discuss what you would like to get help with and discern whether or not your therapist is a good fit for you. If your therapist is unable to meet you needs, you will be provided referrals for someone who may better serve you.
How often do I come in for therapy?
We will determine what would work for you once we meet. One session per week is typical for most people. However, individuals in significant distress may benefit from twice-weekly sessions until they feel more stable. Others find that coming every other week is ideal.
Insurance
Do you accept insurance?
We are a self pay practice. Being self pay means that we don’t work through insurance companies for reimbursement. If you have Out of Network (OON) insurance benefits, in most cases we can provide you with a superbill that you can submit to your insurance company based on their rules for post-session out-of-network reimbursement. Superbills are receipts that show you have paid for therapy out of pocket (OOP). Superbills require medical necessity, so we will have to assign you a diagnosis. We can also provide to you a Good Faith Estimate of charges.
For Out-of-Network coverage, depending on your current health insurance provider or employee benefit plan, it is possible for services to be covered in full or in part. Please contact your insurance carrier to verify how your plan compensates you for psychotherapy services. As a practice that does not accept insurance, nor participate on any insurance panels, we try our best to provide as much support around out of network claims as we can. Unfortunately, we do not have much leverage with the insurance companies, which can sometimes mean reimbursement is not possible. We can ensure that our information is correct and up to date, but are not able to assist further.
We recommend asking these questions to your insurance provider to help determine your benefits:
- Does my health insurance plan include mental health benefits?
- Do I have a deductible? If so, what is it and have I met it yet?
- Does my plan limit how many sessions per calendar year I can have? If so, what is the limit?
- Do I need written approval from my primary care physician in order for services to be covered?
- Can I receive services through an Out of Network provider and be reimbursed?
No Surprises Act
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost
Under the law, health care providers need to give clients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
- Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
- 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, visit www.cms.gov/nosurprises
Cancellation Policy
If you are unable to attend a session, please make sure you cancel at least 48 business hours beforehand; otherwise, you are responsible for the full session fee.
