Got Questions?

Do you take insurance?

Yes! I am a contracted provider with Premera Blue Cross and Regence Blue Shield. I am out of network for Medicare and all other insurance plans.

How will I be billed?

If I am contracted with your insurance plan, I will bill your insurance directly. You are responsible for any co-pays/coinsurance that apply for your plan and payment will be collected at time of service. If you are paying out-of-pocket, I accept cash, check and credit card payments at the time of service. You will recieve a paid-in-full billing statement at the time of payment. This can be sent to your insurance company and they will send your reimbursement directly to you.

What are your fees?

Initial Evaluation: $350 25 min Follow-Up: $175-$330 40 min Follow-Up: $300-$355 55 min Follow-Up: $350-$405 If I am contracted with your insurance, the rate you pay is determined by your insurance company and may be lower than that listed above. For out-of-network patients, the above fees will apply and your insurance company will reimburse you a proportion of the fee depending on your plan. Most out-of-network reimbursement rates vary from 60%-90%.

If you don't take my insurance, how do I know how much I will pay?

Most out-of-network reimbursement rates range between 60-90% of the billed rate. To be certain what you will pay, I encourage you to contact your insurance company. Some good questions to ask include: 1) What is my out-of-network deductible? 2) What is my out-of-network out of pocket maximum? 3) What is my reimbursement rate when seeing an out-of-network doctor? 4) Do I have a co-pay or coinsurance? If so, what is the amount? 5) How do I submit a request for out-of-network reimbursement?

What is your cancellation policy?

If you need to cancel an appointment, please provide 1 full business day. Appointments cancelled without 1 full business day notice will be assessed a $125 late cancellation fee.

Are there conditions you do not treat?

Yes. I am unable to provide treatment for the following conditions: - Current drug or alcohol overuse or abuse - Return to work evaluations/Disability evaluations - Severe eating disorders (i.e. anorexia, bulimia) - Anger management/Domestic violence - Recurrent self-harm - Court ordered treatment - Psychiatric emergencies - Children and adolescents

I need a medication refill. What do I do?

All medication refills are provided during scheduled office visits. If you have no further refills on your medication, please contact my office to schedule an appointment.

How do I reach you between appointments?

All established patients will have access to a patient portal account that includes a confidential message system. All clinical questions between appointments should be sent to me through this system. If you have questions about scheduling, billing or medical records, please call the front desk at 206-386-3103.

Why are there 2 billing numbers (codes) on my bill?

In order to maintain compliance with the insurance plans I accept, I utilize CPT (Current Procedural Terminology) codes for billing. CPT billing requires psychiatrists to bill based on a combination of complexity (the first number on your bill) and time spent with the patient (the second number).