Policies & Fees

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Fees & Insurance

Union Square Practice is an out-of-network private practice and does not accept insurance. Fees vary by clinician, service, and level of experience. Our clinical coordinators will review fees with you before scheduling.

Depending on your insurance plan, you may be eligible for reimbursement through out-of-network benefits. We can provide the necessary documentation for you to submit claims to your insurance company.

Cancellation Policy

We require one business day (24 hours) notice to cancel or reschedule an appointment. Monday appointments must be cancelled by the preceding Friday.

Appointments cancelled with less than the required notice, as well as missed appointments, will be charged the full session fee. Insurance does not reimburse for late cancellations or missed appointments.

Using Your Out-of-Network Benefits

Some insurance plans provide reimbursement for out-of-network mental health services. Coverage and reimbursement vary by plan, so we recommend contacting your insurance company directly to understand your specific benefits.

What are out-of-network benefits?

Many people do not realize that they have out-of-network benefits that can reimburse them for services! Out-of-network benefits are what your insurance uses should you decide to see a clinician who does not accept your insurance. Not everyone has out-of-network benefits, though many insurance plans do offer them.

Generally, these benefits will become effective after you have met your insurance deductible. Once that deductible is met, out-of-network insurance typically reimburses anywhere from 50-80% of the cost per service. The exact amount reimbursed is specific to your insurance provider and to what your insurance
provider deems as the typical cost of services you are seeking.

You will need to call your insurance provider to understand your out-of-network benefits. We’ve outlined some steps below:

  1. Call your insurance provider using the number on the back of your insurance card.
  2. Let your insurance provider know you’d like to understand what your out-of-network benefits are. Here are
    some good questions to ask:
    • What rate am I reimbursed for behavioral health services?
    • Do I need to meet a deductible before I am reimbursed? How much is that deductible?
    • Is there any limitation to the number of sessions that can be reimbursed?
  3. The insurance company will need to know the zip code for services. Union Square Practice is in zip code 10001.
  4. Your insurance will also most likely ask for codes that these services would be billed under. Below are the
    most commonly used codes and an outline of when they are used depending on the service:
 

Billing Codes for providers that prescribe medication (Psychiatrists and Psychiatric Nurse Practitioners):

  • 90792 – 90-minute initial session
  • 99213 + 90836 – 45-minute follow up sessions (includes therapy and medication management)
  • 99213 + 90833 – 30-minute follow up sessions (medication management only)
 

Billing Codes for talk therapy (Psychologists, Mental Health Counselors, and Social Workers):

  • 90791 – Initial consultation
  • 90834 – 45-minute follow up sessions
  • 90847 – Couples and family therapy sessions

 

Please reach back out to us and let us know how it went or if we can help further!

Yes! Most therapy practices in New York are out-of-network. Utilizing out-of-network benefits grants you a much larger range of clinicians to select from. This can be helpful when looking for someone that has a specific specialization or approach. Additionally, out-of-pocket costs can help you reach your deductible (this applies to medical benefits as well!) requirement sooner. You can also use your FSA card to pay for these costs!

We understand that paying out of pocket may not be feasible for everyone. However, paying out of pocket puts you in complete control of your care. This removes any limitations applied by insurance, such as duration and frequency of therapy, and allows individuals to choose the clinician who is the best fit.

Yes! Below is an example. Please note this is not an exact estimate:

You are looking to engage in weekly therapy sessions and are told the cost of each session would be $250. Assuming the reimbursement of out-of-network benefits is 60%, you can multiply $250 by 60% and learn that reimbursement is $150. By subtracting the reimbursement from the initial fee ($250-$150), you can calculate your out-of-pocket expense, which is $100.

Note: Effective January 1, 2022, the No Surprises Act requires medical practitioners to provide good faith estimates of services before services are rendered. The fee range provided to you in an email or screening call will be reasonably accurate to what you can expect to pay per session as a patient.

Billing and Payments

Payment is due at the time of each appointment, whether in person or via telehealth. We require a credit card to be kept on file through our secure patient portal.

Your card may also be charged for missed appointments or late cancellations in accordance with our cancellation policy. If you have any questions about our billing and payment process, please contact us.