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
info@ashlylambertphd.com
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?
Fees:
  • 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
  • Cash
  • Check
  • 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 get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.

What is “balance billing” (sometimes called “surprise billing”)?

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 to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.

“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.

“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care - like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.

You are protected from balance billing for:

Emergency services

​​​​​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 balance billed 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 balanced billed for these post-stabilization services.

Certain services at an in-network hospital or ambulatory surgical center
​
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.

If you get other services at these in-network facilities, out-of-network providers can’t balance bill you unless you give written consent and give up your protections.

You’re never required to give up your protection from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.

When balance billing isn’t allowed, you also have the following protections:

  • 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). Your health plan will pay out-of-network providers and facilities directly.
  • Your health plan generally must:
    • Cover emergency services without requiring you to get approval for services in advance (prior authorization).
    • Cover emergency services by out-of-network providers.
    • Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
    • Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.

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

Visit https://www.cms.gov/files/document/model-disclosure-notice-patient-protections-against-surprise-billing-providers-facilities-health.pdf for more information about your rights under Federal law.

Office location

Dr. Lambert is currently only seeing patients via teletherapy. Teletherapy is covered by the vast majority of insurance plans.