Rates & Insurances for Psychotherapy
Please contact via email, phone call, or set up a consultation to begin your journey of healing and becoming your best self.
All telehealth sessions are conducted via HIPPA-approved platform.
Rates
Individual Sessions:
90791 (initial assessment) $225
90837 (60 minutes) $200
90934 (45 minutes) $165
90832 (30 minutes) $125
Family Sessions:
90846 (60 minutes) $165
90847 (60 minutes/without the patient present)) $185
Crisis Intervention:
90839 (10-25 minutes) $75
*Additional time (if available) $30 per 15-minute increment
Couple Session:
$175 – 60-minute therapy session (not typically covered by insurance)
Group Sessions:
90853 (60 -minute) $50– (private pay accepted)
*Phone support is available for $2/minute for established clients
(billed when in excess of 15 minutes)
*No Show $200
*Late Cancelation $100
*A sliding fee scale is available
Written Reports
Written reports are any reports required for court, employment or individual needs, that outlines the diagnostic impression and summary of treatment. The needs of the report will be discussed per request.
Fees: $100 per report
Insurance
We currently accept Tricare Certified Non-Network, Optima, Optima Family Care, Cigna, United Community Care, Medicare (part B of Virginia ONLY), Medicaid (VIRGINIA ONLY), United Health Care, and Anthem Blue Cross/Blue Shield Insurance Plans.
If you have another insurance, it will be considered out of Network. This does not mean your insurance company will not process your claim. It does mean that you will be responsible to pay for your session up front at cost. I can provide you with a super Bill for you to submit to your insurance company to request a direct reimbursement from them to you for services rendered
Depending on your current health insurance provider or employee benefit plan, services can be covered in full or in part. Please contact your provider to verify how your plan compensates you for psychotherapy services.
Understanding Your Mental Health Insurance Benefits
KL Gash & Associates is dedicated to your mental health and well-being; however, we still have to tackle the topic of fees and insurance coverage. Understanding your insurance benefits for mental health can be complicated, below is a guide to answer some of the most common questions. As always, if you have any questions please don’t hesitate to contact us and your insurance provider.
Common health insurance terms:
Copay: This is a flat fee that you pay for a service and your insurance pays the remainder. For example, you may pay a $25 co-pay and your insurance covers the remaining $100. You may have to meet your deductible (explained below) before this becomes the only amount you have to pay. Your co-pay is set by your insurance company and your provider is required to collect that amount.
Coinsurance: This is similar to a co-pay, but it is a percentage, instead of a flat fee. For example, you may have a 20% co-insurance. Again, you may have to meet your deductible before this applies. This percentage is established by your insurance company and your provider is required to collect it.
Deductible: This is an amount, set by your insurance company, that you are required to pay before the insurance will cover any of your claims. You are responsible for paying the full fee for a service, until you meet your deductible. For example, if your deductible is $500 and the fee for therapy is $100, you would be required to pay $100 for your first five therapy appointments (assuming you had no other medical claims). After the first five appointments, your insurance company would begin paying a portion and you would have a co-pay or co-insurance. You may have a separate deductible for mental health. You typically have choices about your deductible amount when selecting your insurance policy. Providers who are in network with your plan are required to collect these fees.
Out of Pocket Max: This is the maximum amount an insured person will pay for services before the insurance company begins paying all claims at 100%.
Explanation of Benefits (EOB) – This is the document that comes in the mail or is sent to you online, which explains your coverage for a specific service. You will receive an EOB from your insurance company for each therapy appointment. It will explain what your insurance covered and what you owe. The insurance company also sends us a copy. This is the first place you should look if you have questions about what you were charged for an appointment.
In-Network – This means we have signed a contract and agreed to work with your insurance company. We have agreed to accept a discounted rate, known as the contracted rate, for our services. We are in-network with most of the local insurance companies.
Out-of-Network – This means we have not contracted to work with your insurance company. We have not agreed to the insurance companies discounted rates and you are responsible for our full fee. In some cases, you may have out-of-network coverage, which means your insurance company will still pay for a portion of your fee, but probably at a lower rate than they would pay for an in-network provider.
We’d 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?
- NOTE- KL Gash & Associates is a non-network provider with Tricare and may require a referral. Be sure to tell Tricare you will be seeing a non-network provider)
Acceptable forms of payment:
Major credit cards, debit cards, HAS, FSA, Superbill.
Cancellation Policy
If you are unable to attend a session, please make sure you cancel at least 24 hours beforehand. Otherwise, you may be charged for the full rate of the session.
Any Other Questions
Please contact us for any additional questions you may have. We look forward to hearing from you!