Fees & insurance

Clear prices, either way.

Use your insurance through Alma, or pay a flat self-pay rate. You choose when you sign up.

Option one

Insurance, through Alma

Alma is the platform that credentials me with insurance companies and handles claims. When you sign up, Alma emails you a secure link to enter your plan. They check eligibility and tell you what you’ll owe before you’re seen, which is usually your normal specialist copay or coinsurance.

Aetna
Cigna
UnitedHealthcare / Optum
Anthem Blue Cross Blue Shield
Carelon
Meritain
Surest
UMR

Participating plans differ from state to state. If you have Medicare or Medicaid, please call before signing up; those plans don’t allow self-pay for covered visits.

Option two

Self-pay

For people without a plan I’m in network with, or who choose not to use their insurance. Not available for Medicare or Medicaid.

First evaluationAbout 60 minutes · diagnosis and treatment plan: $525
Follow-up visitAbout 30 minutes · medication management and therapy: $260

· Paid by card before each visit
· Superbill on request, for out-of-network reimbursement
· Please cancel or reschedule at least 24 hours ahead

Pay a visit fee

Which should I choose?

A quick way to decide

Choose insurance if…

your plan is one of the ones above and is in network with Alma in your state
you have a low copay for specialist visits
you’ve already met your deductible this year
you’d like Alma to handle the billing

Choose self-pay if…

your plan isn’t one I’m in network with, or you have a high deductible you won’t meet
you’d rather keep psychiatric care off your insurance records
you want a fixed, predictable price
you have out-of-network benefits and want to submit a superbill

Out-of-network reimbursement

Some plans pay back part of a self-pay visit. I give you a superbill (an itemized receipt with diagnosis and procedure codes), and you submit it to your plan. Call the number on your insurance card first and ask:

Do I have out-of-network benefits for outpatient mental health?
What is my out-of-network deductible, and how much have I met?
What percentage do you reimburse after the deductible?
Do you pay based on the billed amount or an “allowed amount”? What is the allowed amount for CPT 99205 / 90792 (first visit) and 99214 (follow-up)?
How do I submit a superbill, and is pre-authorization required?

Example only: if your plan’s allowed amount for a follow-up is $180 and it reimburses 60% after your deductible, you’d get about $108 back on a $260 visit. Your plan’s numbers will differ.

Your right to a Good Faith Estimate

If you don’t have insurance or choose not to use it, federal law entitles you to an estimate of the expected charges before your visit. Read the full notice.