FEES
Initial Phone Consultation:
Free (15 minutes)
Initial Evaluation:
$340 (90 minutes)
Individual Therapy:
$190 (45-50 minutes)
Family Therapy:
$225 (60 minutes)
Free (15 minutes)
Initial Evaluation:
$340 (90 minutes)
Individual Therapy:
$190 (45-50 minutes)
Family Therapy:
$225 (60 minutes)
INSURANCE
I am an out-of-network provider and do not currently accept insurance. If you would like to use insurance, please call the number on the back of your insurance card and ask about out-of-network benefits for mental health treatment. The billing codes most often used are 90791 (initial intake), 90834 or 90837 (individual therapy) or 90847/90846 for family therapy. Monthly, I am happy to provide you with a statement that can be submitted to your insurance company. If your insurance company supports out-of-network benefits, they will likely reimburse you for a percentage of what you have paid, which may be applied to your insurance deductible. I am happy to help support you in managing the out-of-network system in any way that I am able.
GOOD FAITH ESTIMATE
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. Your health care provider can provide you a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or contact Dr. Sproch at 207.468.4119.