PRIVACY POLICY

I comply in strict accordance with federal and state laws to assure that you receive competent and ethical treatment. I adhere to the Privacy Rules established under HIPAA, the Health Insurance Portability and Accountability Act. A copy of the Notice of Privacy Practices will be provided to you.

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PAYMENT

I am an In-Network provider for Blue Cross Blue Shield (BCBS) of Massachusetts and Rhode Island.

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I am also an Out-Of-Network provider for most PPO insurance plans. 

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Payment for my fees/co-payments can be by cash, credit card or check, and is due at the time of service, unless an alternate agreement is made. 

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INSURANCE

When working with your insurance company, don't be discouraged by, or assume you need to navigate alone. I will be glad to consult with you on the process of obtaining a clear understanding of your benefits. Many insurers have websites for providers, and I can sometimes provide some initial information about eligibility and co-pays. However, you should be aware that insurance companies are much more responsive to you than they are to a provider like myself: you are their customer, and they are interested in making you satisfied with their services. So--to determine complete information about  your insurance benefits and eligibility, you can contact your insurance by calling the Mental Health phone number located on the back of your insurance card. A representative will assist you. 

 

To ensure that you receive all the information that will be helpful to you, I've listed a series of important questions for you to ask your insurer below:

 

● What is my benefit for mental health? 

● Specifically, what is my benefit for outpatient individual psychotherapy?

● Do I have an out-of-network benefit? Or, do I only have in-network benefits?

● Is the provider I’d like to work with considered in-network or out-of-network for my current insurance plan?

● Do I have an annual deductible? If so, on what date does my annual calendar start? (this is typically the date your insurance was activated)

● Do I have a coinsurance payment? How much is it per visit?

● Do I have a maximum on my out-of-pocket expenses?

● Do I have to obtain authorization in order to use my benefits/participate in sessions?

● Does my benefit become unlimited, as determined by medical necessity, if my diagnosis is biologically based? (Parity Law)

● How do I obtain reimbursement for treatment I have paid for out-of-pocket?

● What is your name and call-back number (for follow-up with additional questions and to document information provided)?