Forms, Insurance and Fees

Forms

At the time of our first telephone conversation or email exchange I will ask you about the nature of your concerns and determine what scheduling constraints you may have. I will then email you a link to an electronically-secured site for patient registration. There you will be able to complete, electronically sign and submit this documentation to me. Once I have received your registration information, I will contact you by phone, text or email according to your preference to schedule an appointment.

I will send you a link to the “back door” of my website, where you can fill out the registration forms. This provides the electronic security appropriate for handling HIPAA and financial information.

If you prefer, I would be happy to send you a copy of the patient registration packet by email, however, I suggest that you return the packet to me by U.S. mail or fax, as unencrypted email is not an entirely secure form of communication.

Insurance and Fees

I routinely file insurance claims on behalf of my patients, collecting a co-payment, coinsurance or deductible only when directed to do so by the insurance company. For example, you may have an unmet deductible that must be paid by you before your claims begin to be paid by your insurance company. In most cases my fees are set according to existing contracts I have with any of dozens of insurance companies. Your cost will depend, in turn, on the terms of your insurance policy.

Insurance generally pays for video conference-based counseling just as it does for in-person psychological services. I encourage you to call the customer service phone number on your insurance card directly to determine the extent of your coverage for “tele-health mental health services.” Of course, you are responsible for paying any unreimbursed charges.

Network Participation

Not all insurance companies limit members to receiving services from someone on an established provider panel. Of those that do, I am in the network of providers for the following companies: