Insurance & Billing

Transparent pricing and billing information

Insurance We Accept

We accept almost all insurance plans.

Rather than list every carrier, it is simpler to name the plans we cannot bill. If your plan is not on the short list below, contact the office and we will verify your benefits before you schedule.

Plans we are not able to accept

PA Medicaid
Aetna Better Health of Virginia
Humana

Services billed out of pocket

These evaluations are not billed through insurance. We confirm the fee with you before anything is scheduled.

Immigration evaluations
Learning disability evaluations

Coverage and benefits vary by plan. Please contact our office to verify your specific insurance coverage and out-of-pocket costs before scheduling your appointment.

How Billing Works

Verify Coverage

We verify your insurance benefits before your first appointment to determine coverage and any out-of-pocket costs.

Service Provided

You attend your scheduled evaluation or therapy session. We collect any applicable co-payment at the time of service.

Claim Submitted

We submit claims directly to your insurance company on your behalf. Claims are typically processed within 30-45 days.

You Pay Remainder

After insurance processes the claim, you receive an Explanation of Benefits (EOB) and are responsible for any remaining balance per your plan.

Understanding Your Explanation of Benefits (EOB)

After your insurance processes a claim, you'll receive an Explanation of Benefits (EOB). This document is not a bill—it explains what services were provided, what your insurance covered, and what you may owe.

Your EOB will show the billed amount, the negotiated rate with your insurance, what your plan paid, and your responsibility (co-pay, co-insurance, or deductible). If you have questions about your EOB, our billing team is here to help clarify any confusion.

Self-Pay Options

We believe quality mental health care should be accessible to everyone. For clients who prefer to pay out-of-pocket or whose insurance we don't accept, we offer flexible payment options.

Sliding Scale Fees

We offer reduced fees based on financial need and household income. Contact our office to discuss eligibility and available rates.

Payment Plans

For comprehensive evaluations, contact the office to discuss payment options before you schedule.

Good Faith Estimate

Under the No Surprises Act, you have the right to receive a Good Faith Estimate of expected charges before receiving services. We will provide a written estimate upon request that outlines the expected cost of your evaluation or therapy services.

Frequently Asked Questions

Do you accept my insurance?

We accept almost all insurance plans; the exceptions are listed above. Coverage varies by plan, so we recommend contacting our office to verify your specific benefits. We will check your coverage before your first appointment and provide you with an estimate of any out-of-pocket costs.

What if I don't have insurance or my plan isn't accepted?

Self-pay options are available for clients without insurance or whose plans we do not accept, and we provide a Good Faith Estimate as required by the No Surprises Act. Contact the office to discuss fees and payment options for your situation.

What is a co-payment and when is it due?

A co-payment (co-pay) is a fixed amount you pay for a covered service as defined by your insurance plan. Co-pays are typically due at the time of service. The amount varies by insurance plan and type of service. We accept payment by cash, check, or major credit cards.

What is a deductible and how does it affect my costs?

A deductible is the amount you must pay out-of-pocket before your insurance begins to cover services. If you haven't met your annual deductible, you'll be responsible for the full negotiated rate with your insurance until the deductible is met. After that, you'll typically only pay your co-pay or co-insurance amount.

How long does it take to process insurance claims?

Insurance claims are typically processed within 30-45 days of submission. Once processed, you'll receive an Explanation of Benefits (EOB) from your insurance company showing what was covered and any patient responsibility. We'll then send you a statement for any remaining balance. If you have questions about your EOB or statement, our billing staff is happy to help.

Questions About Insurance or Billing?

Our billing team is here to help you understand your coverage and payment options. Contact us today.

Contact Our Office