As of January 1, 2014, I am now a provider for Empire Blue Cross Blue Shield (EBCBS). This is the only behavioral health panel I am affiliated with.  If you do not have EBCBS, please see “out-of-network” benefits below.

Prior to our first session, please verify your coverage, and if a “pre-authorization” is necessary.  In addition, please bring your insurance card to the first session.

Many individuals have what’s called “out-of-network" benefits. Services may be covered in part or in full by your health insurance or employee benefit plan. Some plans help reduce the cost of therapy by covering approximately 50% to 80% of your therapy fee. Please call your insurer and check your coverage.  I suggest asking the following questions:

  1. Do I have mental health benefits and does my plan have “out-of-network" benefits?

  2. Do you cover Licensed Clinical Social Workers (LCSW’s)?  Are there any exceptions?

  3. What is my deductible, and has it been met?

  4. How many sessions per calendar year does my plan cover?

  5. What is the percentage of coverage based on the fee per session for an out-of-network provider? This is partially determined by the procedural code for the type of therapy session you will be having. I can provide you with this code prior to checking your benefits.

  6. Is approval required from my primary care physician?

It is the client's responsibility to pay for each session on the day of your appointment. A receipt will be provided at the end of each session or on a monthly basis to submit to your insurance company for reimbursement.  Please note, it is also the client’s responsibility to submit the necessary paperwork to your insurance company.

Information Regarding Insurance