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Fees & Insurance
Insurance network status
This may change in the coming months, but I am not currently in-network with any insurance companies at this time. If you have the Dartmouth College Student Group Health Plan, I will bill your insurance directly and then charge you the remainder after your insurance makes its payment (reach out to me to confirm those details).
Using insurance even if I am out of network
If your insurance plan cannot find you a suitable in-network therapist within a reasonable distance or wait time, you may qualify for a "Network Exception" (also called a Clinical Gap Exception). This allows you to see me at your standard in-network copay and coinsurance rate. I recommend calling the member services number on the back of your card and asking: "I cannot find an available in-network specialist; how do I request a Network Gap Exception?" For more information, including a guide to help you navigate this process, you might want to consult this website: https://www.soartogether.net/insurance
Options for Out-of-Network coverage
If your insurance company won't allow the network gap exception, you can look into your plan's out-of-network benefits. Many insurance companies do have out-of-network benefits you can use to obtain partial reimbursement for my services. I can provide a monthly receipt (sometimes called a Superbill) or submit claims directly on your behalf (sometimes called “courtesy billing”). Either way, reimbursement depends on your specific plan. Check with your insurance company about their specific policies and procedures around reimbursement for out-of-network mental health care.
Cost of services
My fee is $260 per 55-minute session. There is no additional fee for the intake session. Sessions of other lengths are charged at a proportional rate. From time to time, and with your permission, I might consult with other professionals (such as your psychiatrist or PCP). If those consultations last more than 15 minutes, you will be charged at the same proportional rate.
That sounds expensive!
I recognize that the fee is on the higher end of what you will see, and it can be a real expense out of pocket. A few factors to consider:
1) Many people with OCD, panic, health anxiety, PTSD, insomnia, or anxiety spend years in ineffective treatment before finding help that actually works. I do my best to work with clients that I believe I can help. Often, it's obvious to me from the initial message that I am or am not a good fit, sometimes a free 15-minute consultation clarifies things, and occasionally it only becomes evident after a full intake assessment. If you've tried therapy before and found it didn't meet your needs, especially if you have one of the conditions listed above, I might be worth it. If you have general "adjustment to life" concerns, I'm happy to do that work with you as well, and I'm confident in my ability to do that work with you, but it might make sense to find someone with a lower fee, because you might not need the specialized care I provide.
2) Therapy can be a short-term commitment for a lifetime of change. There are no guarantees when it comes to treatment, but I have worked with many motivated clients who have suffered for years yet see significant improvement in 6-10 sessions, depending on their specific symptoms, readiness for treatment, and other factors. To be clear, sometimes it does take longer to recover (you should plan on 12-20 sessions, to be safe), but meaningful improvement that early is common.
3) There are opportunities to reduce or offset the cost of treatment, which I described above.
1) Many people with OCD, panic, health anxiety, PTSD, insomnia, or anxiety spend years in ineffective treatment before finding help that actually works. I do my best to work with clients that I believe I can help. Often, it's obvious to me from the initial message that I am or am not a good fit, sometimes a free 15-minute consultation clarifies things, and occasionally it only becomes evident after a full intake assessment. If you've tried therapy before and found it didn't meet your needs, especially if you have one of the conditions listed above, I might be worth it. If you have general "adjustment to life" concerns, I'm happy to do that work with you as well, and I'm confident in my ability to do that work with you, but it might make sense to find someone with a lower fee, because you might not need the specialized care I provide.
2) Therapy can be a short-term commitment for a lifetime of change. There are no guarantees when it comes to treatment, but I have worked with many motivated clients who have suffered for years yet see significant improvement in 6-10 sessions, depending on their specific symptoms, readiness for treatment, and other factors. To be clear, sometimes it does take longer to recover (you should plan on 12-20 sessions, to be safe), but meaningful improvement that early is common.
3) There are opportunities to reduce or offset the cost of treatment, which I described above.
Using an HSA/FSA card
Therapy is an eligible expense for your Health Savings Account (HSA) or Flexible Spending Account (FSA). You can pay directly with your HSA/FSA card, or reimburse yourself after the fact for the cost of therapy.