That's right - we take insurance! Part of our mission is to make sure that there is a place where you can get psychotherapy with your insurance, which makes us very rare indeed. We know that these days, insurance is an intricate maze and we're here to help you navigate it. If you have qualified for Medicaid, please remember that you must also choose a plan to provide the Medicaid Benefits to you - the list of plans we accept is below. We don't accept what is known as "Straight Medicaid". Typically, only large hospitals accept Medicaid without a plan. It is easy to get a plan - you must just choose one and call them and let them know that you have Medicaid but need a managed care plan.
If you do not have insurance, we are happy to offer you a sliding scale (see below). However, even if you pay the minimum fee, it still might be cheaper to look into the rates for the Affordable Care Act Plans, or even to see if you qualify for a Medicaid plan, which is free. Once you qualify for Medicaid or the Affordable Care Act, you only need to choose a plan. (see the list of plans we take below). As the current Administration is cutting funding to help people sign up for the ACA and Medicaid, we are doing our best to help educate people on their public insurance options. We're happy to give you guidance about this process if you need it - just click on Contact Us above. For more information, a good place to start is the NY State of Health Website: https://nystateofhealth.ny.gov/. Their help line is 855.355.5777.
Checking your benefits
When you email us your information (Click on Contact Us), we are happy to check your insurance benefits for you. We do our best to get the most accurate information from your insurance about your benefits. However, insurances often quote us incorrect information. For this reason, we ask that you check your own benefits as well. This way, we can ensure that the information we have is correct.
Calling your own Insurance to Find out your Benefits
When you call your insurance, you'll want to use the phone number on the back of your Insurance Plan's card. You should ask about your behavioral/mental health benefits for "Outpatient Mental Health Office Visits" (CPT codes: 90791, 90834, 90846, & 90847).
-In-Network: If your insurance plan is listed below, you should ask about In-Network benefits, meaning that we are part of that insurances "network" of providers.
-Out of Network: If your insurance is not on the list below, you should be asking about Out-of-Network benefits (more on Out-of-Network below).
We need to know the following:
**Don't worry if you're not sure what these are, we'll help explain the numbers for you once you have them!
-Deductible (this is the amount you have to pay before the insurance will start paying). If you have one, you should also ask how much of it you have left. Your fee will be tied to the contracted rate your insurance sets for our services.
-Co-pay (flat fee for an appointment) or Co-insurance (a percentage per appointment of the total fee)
-Your Effective Date (the date your insurance became active)
-Your Re-certification date (mark this on your calendar so that you know when you need to submit paperwork to re-certify)
-Your Primary Insurance (just to make sure that you're not mistakenly listed under another insurance, for example, your previous insurance, your parent's insurance, your partner's insurance, etc.)
We accept all types of the plans below, including Medicaid, Medicare, ACA, and private plans. We do not accept Medicaid or Medicare without a Plan. If you have Medicaid/Medicare without a plan, you should call them right away and choose a plan. Here is the list:
Empire Blue Cross Blue Shield of NY
Empire Blue Cross Blue Shield (Any State)
Empire Blue Cross Blue Shield HealthPlus
And some other lesser known plans.
Beacon Health Options (out of network)
GHI (out of network)
NYSHIP (out of network)
United Healthcare (out of network)
Valueoptions (out of network)
Please email us the name of your insurance so we can check it for you.
While our full fee is $250 per session, we do offer a sliding scale to those with financial need, ranging from $80 t0 $150, depending on what a patient can afford.
If you have Out-of-Network benefits, your payment is due at the time of service, however, we're happy to file all your claims with your insurance company for you as a courtesy. Sometimes insurances will actually pay us directly, in which case, you're only responsible for whatever deductible, co-pay, or co-insurance is applicable.
To check your benefits, you can use the app below, Claimly. We are not affiliated with Claimly. If you have any difficulty with using their service, please contact them directly. In addition to calling your insurance directly, at the bottom of this page we've also included Claimly, a new app that helps you to check your insurance benefits. Claimly will email us both a copy of your benefits as a final check.
get back from your insurance