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I want you to feel heard...
 

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Sometimes money and insurance can bring up confusion and negative feelings. Please know that if this happens for you as you read through this page that is a human experience to have and that I am here to help with this. I can explain how finances and insurance works with counseling.

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1) If you plan to use insurance (called "in network"): 

 

  • I accept Cigna and Aetna.

  • In Network means that a healthcare provider has a contract with the insurance company and this is typically when people get the best rate.

  • Any other insurance would be considered "Out Of Network", please read # 2 below if you do not have Aetna or Cigna.

  • Your in-network cost is determined by your insurance company for in-network services, not your provider.

  • I will call your insurance and put in writing what your insurance tells us about costs.

  • They are not the same as rates listed below. 

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2) Out of Network services: 

For those not using Cigna/Aetna (out of network) the fees are:

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45 minute session: $160

46-60 minute session: $190

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  • I can provide you receipts for all services paid so you can use them for tax purposes as well as for insurance reimbursement.

  • Did you know you might qualify for money back from your insurance?

  • I can explain your out of network benefits to you once you know them for no charge. 

  • If you need help figuring out what to ask see the box below. â€‹

  • Credit cards are accepted with no hidden fees! You may earn rewards on your credit card if you get points, travel miles, etc.No more remembering to pay - your card will automatically get charged for session and you get a text message for all charges/refunds. 

  • I am not able to work with people with Medicare at this time.

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Questions to ask your insurance to understand your Out Of Network Benefits:

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  1. "Hi I"m calling to ask about out of network benefits." Do I have out of network benefits for mental health outpatient therapy?      [If the answer is no then you will not get money back]you may choose to end the call at the point - you can take down the name of the representative & reference number if you wish. If there are benefits, are there are diagnoses that are not covered? [Please let us know what these are.]​

  2.  Do I have a deductible/co-insurance? If not, what is my copay? How would I get reimbursed?  When does my plan start over next? Not all plans start over on January 1st.  

  3.  Do I need referral or pre-authorization for mental health services?

  4.  "Are these CPT codes covered under my plan:  90791, 90832, 90834, 90837".

  5. Is telehealth a standard benefit for this plan?​ [I use a HIPAA complaint platform for telehealth if they ask]. If so, what is the telehealth modifier for billing?

  6. Are there limits as to many how mental health sessions I can have in a year?​

  7. Take down and save the name of the representative and the reference number for your records.​ Add the date you called. 

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          Your Right to Receive: Good Faith Estimate 

     

     

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Rates & Insurance

Welcoming All

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Monday: 9 am to noon
Tuesday: 9 am to 3 pm
Wednesday: 9 am to 3 pm
Thursday: 9 am to 3 pm
Friday: 9 am to noon

Hours

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​732-455-1303

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hello@FourSeasonsCounseling.com

 

2 North Road, Suite #3

Warren, NJ 07059

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