Fees
LexIntegrative Psychotherapy, LLC is transitioning to a private pay practice in order to offer
Increased Privacy
Self-Determined Treatment Duration
Access to Interventions Best Suited to Your Needs
Private Pay Rates
Psychotherapy— initial assessment sessions — $300 / 50 minute hour
Psychotherapy — regular sessions — $225 / 50 minute hour
Case management — $50 / 10 minutes
Supervision — $100 / 50 minute hour
Out-of-Network Coverage:
If interested in seeking reimbursement for out-of-network insurance coverage, Ellie will provide you with the documentation required for this process.
Questions to Ask Insurance About Your Out-of-Network Benefits:
Do I have out-of-network benefits for mental health coverage?
If so, what percentage is covered?
Is there a session limit, and if so, in what time period?
Do I have a deductible? What is it and how much of it have I met?
How do I submit a request for reimbursement?
Good Faith Estimate Disclaimer:
Effective January 1, 2022, the No Surprises Act (NSA) protects self-pay individuals from many unexpectedly high medical bills.
If an individual does not plan to use that insurance to pay for health care items or services, they are eligible to receive a “good faith estimate” (GFE) of what they may be charged, before they receive the item or service.
A new patient-provider dispute resolution (PPDR) process is available for uninsured or self-pay individuals who get a bill from a provider that is substantially in excess of the expected charges on the good faith estimate (GFE; $400 or more).
Under the NSA, self-pay individuals should receive a single, comprehensive good faith estimate that includes expected charges for:
The primary item or service that will be furnished by the convening provider or convening facility and that is the initial reason for the visit.
All items and services that are reasonably expected to be provided in conjunction with the primary item or service, provided during a defined period of care.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 800-985-3059.
Provision of Psychotherapy Disclaimer:
Good Faith Estimates (GFE) require the inclusion of a diagnostic code, treatment code and estimated duration of care in order to provide a client with a cost estimate that is unique to their need(s). Although an initial diagnostic impression can be determined within the first session, a formal diagnosis requires ongoing assessment over several sessions. Similarly, duration of care is determined through recurrent evaluation of treatment engagement and progress toward client-identified goals. Due to this, the initial GFE is solely based on the limited information available at the time of the pre-treatment telephone consultation. Upon initiating treatment, if there are changes to the initial diagnostic impression and proposed treatment plan, it is your right to receive an updated GFE.
For questions or more information about your right to a Good Faith Estimate for the services provided by LexIntegrative Psychotherapy, LLC, please contact Ellie directly or address this in session.