"Who looks outside, dreams; who looks inside, awakes." Carl Jung
Moving forward with therapy ...
Below you will find information on my office policies, fees and billing, as well as paperwork necessary for your first appointment.
Scheduling an Appointment: In order to schedule an initial intake appointment, please contact Dr. Lambert firstname.lastname@example.org 206.484.6188
Fees, Billing, & Insurance: Questions for Insurance: In order to fully understand your insurance benefits, the following are helpful questions to ask your provider prior to our first appointment:
What is your outpatient mental health coverage? For some medical policies, mental health coverage is provided by a different insurance company and it is possible that I may be considered out-of-network for mental health coverage.
Do you need pre approval or a referral from your primary care physician prior to our first appointment?
What is your deductible and does the deductible apply to mental health coverage?
What is your copay?
Do you have coinsurance? If so, what is the coverage?
What are your mental health benefits for in-network providers and/or out-of-network providers?
First appointment (intake) 90791: $300
Subsequent individual follow-up appointments:
90837 (53+ minutes): $240
90834 (38+ minutes): $180
90847 (90 minutes): $360
I most often recommend that couples schedule a double session lasting approximately 90 minutes as I find it most helpful to hold longer sessions in order to accommodate the complexity of working with couples. These sessions are billed at $360 and are usually not covered by insurance.
All other services will be billed on a prorated basis of $300/hour. Phone calls over 10 minutes will be charged accordingly. These rates apply to both phone and video sessions
Accepted Forms of Payment
Credit cards (via Square )
Payment is expected at time of service unless we specifically make other arrangements. I ask that clients enroll with direct payment through Stripe. All credit card information is secure and I am unable to see all but the last four digits of a credit card.
Cancellation/No-Show Policy: If you need to cancel or reschedule your appointment, please do so as soon as possible. Any appointments no-showed or cancelled with less than 48 hours notice are subject to the full charge of the missed appointment. .
Your Rights and Protections Against Surprise Medical Bills (OMB Control Number: 0938-1401)
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs,such as a copayment, coinsurance, and/or a deductible. You may have other costs or have topay the entire bill if you see a provider or visit a health care facility that isn’t in your healthplan’snetwork.
“Out-of-network” describes providers and facilities that haven’t signed a contract with yourhealth plan. Out-of-network providers may be permitted to bill you for the difference betweenwhat your plan agreed to pay and the full amount charged for a service. This is called “balancebilling.” This amount is likely more than in-network costs for the same service and might notcounttowardyourannualout-of-pocketlimit.
“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who isinvolved in your care - like when you have an emergency or when you schedule a visit at an in-networkfacilitybutareunexpectedlytreatedbyanout-of-networkprovider.
If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balancebilled for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balancedbilledforthesepost-stabilizationservices.
Certainservicesatanin-networkhospital orambulatorysurgicalcenter When you get services from an in-network hospital or ambulatory surgical center, certainproviders there may be out-of-network. In these cases, the most those providers may bill you isyour plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia,pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivistservices. These providers can’t balance bill you and may not ask you to give up your protections nottobebalancebilled.
If you get other services at these in-network facilities, out-of-network providers can’t balance billyou unlessyougivewrittenconsentandgiveupyourprotections.
You’re never required to give up your protection from balance billing. You alsoaren’t required to get care out-of-network. You can choose a provider or facilityinyourplan’snetwork.
When balance billing isn’t allowed, you also have the followingprotections:
You are only responsible for paying your share of the cost (like the copayments,coinsurance, and deductibles that you would pay if the provider or facility was in-network).Yourhealthplanwillpayout-of-networkprovidersandfacilitiesdirectly.
Cover emergency services without requiring you to get approval for services inadvance(priorauthorization).
Basewhatyouowetheproviderorfacility(cost-sharing)on whatitwouldpayanin-network provider or facility and show that amount in your explanation ofbenefits.
Count any amount you pay for emergency services or out-of-network servicestowardyourdeductibleandout-of-pocketlimit.
If you believe you’ve been wrongly billed, you may contact: The Washington State Office the Insurance Commissioner at www.insurance.wa.gov or call 1-800-562-6900