Out-of-Network Therapy: Simplified
We are an out-of-network therapy practice. This means we don’t directly bill insurance companies, but we make reimbursement easy for eligible clients.
Our Out-of-Network Advantage:
- We use advanced technology to streamline your reimbursement process.
- You pay us directly, and then we help you seek reimbursement from your insurance.
- Once you’ve met your annual deductible, your insurance company reimburses you directly.
Navigating Out-of-Network Benefits:
- 1. Call Your Insurance Provider: Use the number on your insurance card.
- 2. Confirm Out-of-Network Mental Health Benefits: Specifically, ask about therapy coverage.
- 3. Clarify Your Deductible: Understand your out-of-network mental health deductible and initial costs.
- 4. Get Reimbursement Details: Ask about allowed amounts for code 90834 and reimbursement rates for different provider levels. (e.g., psychologist vs licensed professional counselor).
- 5. Estimate Your Costs: After meeting your deductible, your reimbursement will be a percentage of the allowed amount.
Remember: As an out-of-network practice, you’ll pay us directly at each session. We’ll then provide the necessary documentation for you to submit to your insurance for potential reimbursement.
Note: HMO plans, TRICARE, Medicare, and Medicaid typically don’t offer out-of-network mental health coverage.
We’re here to guide you through this process and answer any questions about our out-of-network approach.
1
Our Fees Are Average For DC
As of 2024, Individual Therapy In DC Averages $250 Per Session. Couples Therapy Averages $290.
Our fees typically align with these averages, though they may vary slightly depending on the therapist. While we don’t directly accept insurance, most clients receive 50-80% reimbursement through out-of-network benefits.
2
We Know Therapy Isn't Cheap
Your Investment is Valued
We recognize that therapy requires a significant commitment of time, energy, and finances. We respect and match your dedication to personal growth with our commitment to exceptional care. We uphold the highest standards to honor your investment in yourself.
3
We Minimize the Paperwork Hassle
Simplified Out-of-Network Reimbursement
We manage the paperwork for your out-of-network reimbursement. Our electronic filing system works with your insurance company 99% of the time, significantly reducing your paperwork burden. In rare cases where electronic filing isn’t possible, we’ll provide you with the necessary forms to submit to your insurance company.
4
Affordable Therapy Options
The Capital Therapy Project: Lower-Cost Care
We understand that DC’s average therapy rates may not be accessible for everyone. That’s why we created the Capital Therapy Project, offering quality therapy at rates significantly below the DC average. This initiative aims to make mental health care more accessible to a broader range of people in our community. Over the past decade, we’ve helped hundreds of individuals and couples access affordable therapy through this initiative.