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Questions? Or for a consultation, email: jd@psychotherapyworksny.com

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Photos On This Site

are all original, and intended to enhance your understanding of the therapy process.

Many photos represent universal shapes (as in my logo: circle, square, triangle). They are also meant to reflect universal themes about how we integrate head, heart, and soul in the therapy process of increasing self-awareness.

That is, many pictures include color (representing emotion), shapes ( representing our cognitive processes) and other soulful elements such as showing perspective and depth, highlighting differences and contrasts, and illustrating paradox and reflection.

 

You are here: GETTING STARTING - INSURANCE

INSURANCE

If you need to use your insurance, see the information below.

Below are questions you ask about reimbursement from your insurance company.

THE 4 INSURANCE QUESTIONS: FOLLOW THESE STEPS:

Before you phone me for a consultation, call your insurance's membership phone line:

  1. PLAN A: ask what is your Co-pay for an "IN-network" PhD. Psychologist? Then for a Social Worker [MSW/ CSW]?
  2. PLAN B: Ask if your particular contract will reimburse you for an OUT-OF-NETWORK Psychologist? or Social Worker? The CPT-4 codes [scroll to end] determine what fee is paid. If YES, these reimburse for Out-of-Network, then ask 4 questions:
    1. What is your Deductible?
    2. What is the Cap?
      A money cap? Time cap? Or both?
      (e.g they could reimburse you up to 30 sessions... or a $1,000... whichever is reached first.)
    3. What is the calendar "year"?
      i.e. do they start counting sessions (after the deductible of course!) starting Jan 1st ? or some other start date (e.g. when you signed your contract, like Sept 1st).
    4. The reimbursement can be a percentage of what they consider a "reasonable and expected" fee for the region. Ask what is that fee? both for individual therapy, and for group therapy (see CPT-4 codes below).
  3. You may need to say: that I'm a Ph.D. Clin. Psychologist, with an office in one of these 3 counties: Poughkeepsie office in Dutchess, Brooklyn Heights office in Kings, or Grand Central office in New York.
  4. Your bill receipt from me will have Procedure Code information:
    • CPT-4   90847 Family or Couples Therapy
    • CPT-4   90791 [Intake Evaluation - no medical services]
    • CPT-4    90834 [Individual Psychotherapy  (45 min.) or  90837 Individual Psychotherapy  (60 min or more)]
    • CPT-4   90853 Group Therapy [other than multi-family]
  5. After you get your insurance information, and are clear about your budget and what you can afford, I welcome your call or email to make a consultation appointment.

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Getting Started