Insurance Information
NoVA/DC Psychology, PLLC is considered out-of-network for all insurance providers.
Many insurance plans offer out-of-network benefits, which can entitle plan holders to at least partial reimbursement for individual therapy sessions with the submission of an insurance-ready receipt. NoVA/DC Psychology, PLLC will provide clients with this receipt (better known as a “Superbill”), which will contain all information needed to process your claim in the event you choose to submit for reimbursement. Please note that we are unable to provide Superbills to Tricare or Medicare/Medicaid plan holders.
If you are interested in utilizing your insurance benefits, please check with your insurance company, before scheduling an initial consultation, to determine if you are eligible for reimbursement for out-of-pocket costs for individual therapy services.
Helpful questions to ask your insurance:
Do I have out-of-network benefits for mental/behavioral health?
How Much Are My “Out-Of-Network” Benefits For Psychotherapy Provided By A Psychologist? How much will I be reimbursed for a 50-minute (90834) or 60-minute session (90837) with a psychologist in Arlington, Virginia?
Are there any services or codes that are not covered or reimbursed?
Is there a difference in reimbursement rates for telehealth vs. in person services?
Do I have to meet a deductible before I am eligible for out-of-network benefits? Is this deductible the same or separate from the deductible for medical visits (e.g., separate behavioral health deductible)?
Is there a limit to the number of sessions I can be reimbursed for, and/or do I need to obtain an authorization prior to seeking treatment?
What documentation do I need to submit to receive reimbursement? Where can I find an Out-Of-Network Claims Form? Where/How do I send In the claim after I complete it? Is there anything specific that I need to ensure is on the Superbills I receive (e.g., do they have to be signed by the provider and/or myself)?
Rates
Initial Consultation (20 minutes) - Free
Individual Therapy (50 minutes) - $230
Individual Therapy (60 minutes) - $260
Additional time, along with communication between sessions and case management, will be invoiced at a fraction of the standard hourly fee.
Existing clients may also be eligible for either 30-minute or 90-minute sessions, tailored to their therapeutic needs.
No Surprises Act - Effective January 2022
Good Faith Estimate
Since January 1, 2022, healthcare providers have been mandated under the No Surprises Act to inform clients of their federal rights and safeguards against unexpected charges linked to medical or mental health care, known as "surprise billing."
As a result of the No Surprises Act, our practice is required to educate clients, particularly those who are either uninsured or opting out of submitting claims for insurance coverage, on their protected rights to receive notifications for services conducted by out-of-network providers. This obligation includes providing both verbal and written explanations. Please note that this policy excludes clients who choose to receive Superbills for reimbursement from out-of-network insurance providers.
If you meet the criteria, you can anticipate receiving a Good Faith Estimate (GFE) from your provider, outlining an estimated expenditure for up to 12 months of therapeutic services. This estimate will be shared with you no later than 1-3 business days following your initial session.
Any significant modifications to your treatment plan, such as changes in session frequency or rate adjustments (evaluated annually), will necessitate the generation and signing of a new GFE.
NoVA/DC Psychology, PLLC does not participate in any insurance plans, so we are classified as out-of-network providers. Consequently, clients are responsible for making payments to NoVA/DC Psychology, PLLC for services rendered. However, in many cases, clients may be able to seek partial reimbursement directly from their insurance provider, as per the terms of their specific plans.
As is often the case, determining the duration of mental health treatment can be challenging due to the unique needs and treatment goals of each client. Clients have the autonomy to decide the duration of their mental health care, taking into consideration their provider's recommendations. A Good Faith Estimate will be provided, outlining the anticipated costs for services typically offered by the therapist at the recommended frequency and length of sessions. This estimate is based on services provided for 40 to 45 weeks per year (out of 52 weeks).
Under the regulations of the No Surprises Act, if you are billed at least $400 more than the Good Faith Estimate, you have the right to dispute the bill. For further clarification regarding the Good Faith Estimate and this federal mandate, you can explore www.cms.gov/nosurprises.