Use your insurance through Alma, or pay a flat self-pay rate. You choose when you sign up and can switch later.
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. If Alma can’t verify your coverage, you can still see me as a self-pay patient.
Option two
Self-pay
First evaluationAbout 60 minutes · diagnosis and treatment plan
$450
Follow-up visitAbout 30 minutes · medication management and therapy
$230
· Paid by card before each visit
· Superbill on request, for out-of-network reimbursement
· Please cancel or reschedule at least 24 hours ahead
✓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 accepted, 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 $230 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.