Why have I decided not to participate in most insurance plans as an in-network provider?
As an in-network provider, I have a contract with the insurance company wherein I am essentially a company employee. As an out-of network provider, I work directly (and privately) for you. There is a a greater degree of privacy and confidentiality, since I am not required to share a great deal of your personal information with the insurance companies. Our sessions are not pre-set and our treatment plan is not overseen by the insurance company to control their costs. We are better able to work collaboratively to determine your needs and length of treatment.
Confidentiality
The law protects the confidentiality of communications between a client and a psychologist, and information cannot be disclosed without prior written permission from the client. However, there are some exceptions required by law to this rule. These include:
When there is suspected child abuse or dependant adult or elder abuse. I am required to report this to the appropriate authorities.
If a client is threatening serious bodily harm to another person(s), I am required to notify the police and the intended victim.
If a client intends to harm him or herself, I will make every effort to work with the individual to ensure his/her safety. However, if an individual does not cooperate, I will take further measures without his or her permission that are provided to me by law in order to ensure the client’s safety.
Notice of Privacy Practices
Attached below is the Notice of Privacy Practices, which describes how medical information about you may be used and disclosed and how you can access this information. I am required by applicable federal and state law to maintain the privacy of your medical information. I am also required to give you this notice about my privacy practice, my legal duties, and your rights concerning your medical information. I must follow the privacy practices that are described in this notice while it is in effect. This notice takes effect 4/14/03. This updated and revised notice takes effect on 9/23/13 and will remain in effect until it is replaced. You will be provided with a copy of this notice at our first meeting. For more information about my privacy practices, please review the attachment and/or contact me at the information listed at the end of this notice.
Confidentiality
The law protects the confidentiality of communications between a client and a psychologist. Information cannot be disclosed without prior written permission from the client. However, there are some exceptions required by law to this rule.
These exceptions include:
When there is suspected child abuse or dependent adult or elder abuse. I am required to report this to the appropriate authorities.
If a client is threatening serious bodily harm to another person(s), I am required to notify the police and the intended victim.
If a client intends to harm him or herself, I will make every effort to work with the individual to ensure his/her safety. However, if an individual does not cooperate, I will take further measures without his or her permission that are provided to me by law in order to ensure the client’s safety.
Notice of Privacy Practices
Attached below is the Notice of Privacy Practices, which describes how medical information about you may be used and disclosed and how you can access this information. I am required by applicable federal and state law to maintain the privacy of your medical information. I am also required to give you this notice about my privacy practice, my legal duties, and your rights concerning your medical information. I must follow the privacy practices that are described in this notice while it is in effect. You will be provided with a copy of this notice at our first meeting. For more information about my privacy practices, please review the attachment
Billing and Insurance
Why I’ve chosen not to participate in most insurance plans as an in-network provider? Your privacy and confidentiality is important!
As an out-of network provider, I work directly and privately for you. This affords us a greater degree of privacy and confidentiality.
Our sessions are not pre-set and our treatment plan will not be overseen by an insurance company.
We are better able to work collaboratively to determine your specific needs and length of treatment that makes sense for you.
Please note that I would be pleased to provide documentation if you wish to submit to an insurance company for “out of network” benefit coverage
Session Fees: $250.00 per clinical hour