Question 1

Do you take insurance?

Accepted Answer

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.

Question 2

What are your fees?

Accepted Answer

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%, but I encourage you to contact your insurance company for details.

Patients are also protected by the No Surprises Act. (https://www.insurance.wa.gov/sites/default/files/documents/consumer-notice-suprise-billing-2023.pdf)

Question 3

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

Accepted Answer

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?

Question 4

How will I be billed?

Accepted Answer

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.

Question 5

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

Accepted Answer

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).

Question 6

I need a medication refill. What do I do?

Accepted Answer

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.

Question 7

How do I reach you between appointments?

Accepted Answer

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 are experiencing an emergency and are unable to wait for a reply, please call 911 for medical emergencies or 988 for mental health emergencies.

Question 8

What is your cancellation policy?

Accepted Answer

If you need to cancel an appointment, please provide 2 full business days notice. Appointments cancelled without 2 business days notice will be assessed a cancellation fee. No fee will be charged for the 1st late cancel/no show, $150 will be charged for the 2nd late cancel/no show and the full fee for services scheduled will be charged for each late cancel/no show thereafter.

Question 9

Are there conditions you do not treat?

Accepted Answer

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

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