Cotswold Psychology is an out of network provider for most insurance companies. At this time, we will remain in network with BCBS and Tricare.
We believe that our clients and their caregivers should be the people making decisions about the course of mental wellness treatment. We also value our client’s right to privacy and confidentiality in our work together. Treatment should not be dictated by a managed care company, whose staff do not know you or your child.
Clients should be able to see their therapist and decide whether they want a diagnosis (a diagnosis is required for insurance reimbursement), how many sessions they want to utilize, (managed care companies may cut off payment for services they no longer deem necessary), and who they want to have access to their confidential therapy notes.
Superbill
As an insurance-friendly practice, you can expect to receive a monthly Superbill. The Superbill is a documentthat details all services and payments as well as Cotswold Psychology’s Practice information and the client’s diagnosis code. This is all the necessary information you will need should you choose to pursue reimbursement from your insurance company.
To determine whether your insurance company will reimburse you for our work together or with another out-of-network clinician, you will want to contact them and ask the following:
- Do I have out of network benefits? If yes…
- Do I need a referral from an in-network provider to a mental health professional?
- Do I need pre-approval or preauthorization before meeting with a mental health professional?
- What is my out of network deductible and how much have I met this year?
- Are there dollar limits, visit limits or other coverage limits on my mental health benefits?
- What is the allowable amount on services? (See relevant CPT Codes below.)
- Do you cover telehealth (online/remote therapy sessions)? (CPT Code Modifier: 95 OR GT)
To complete the preauthorization inquiry, you will want to request the Diagnostic Interview along with the appropriate ongoing psychotherapy selections:
Current Procedural Terminology (CPT Codes)
- Diagnostic Interview (Intake)
- Individual Therapy Intake, 60 minutes: 90791
- Group Therapy Intake: 90791
- Individual Therapy
- 25-30 minutes: 90832
- 45 minutes: 90834
- 60 minutes: 90837
Preauthorization is NOT a guarantee of any amount of reimbursement from your insurance company. It is your responsibility to read and understand your policy and what preauthorization means for your specific claim. Be aware that insurance companies may still reject your claim despite proper preauthorization procedures being followed.
Payment for Services
Clients are responsible to pay for all services up front, at the time that they occur.
Forms of Payment
- Cash
- Credit
- Debit
- HSA and FSA payments (pre-tax dollars!)
No Surprises Act & Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.
Updated Pricing (December 1, 2024)
- Intake: $300
- Individual Therapy
- 53-60 Minutes $250/ hr
- 30-45 minutes $225
- 30-37 minutes $200
- Testing: $450 per hour (if less than 4 hours are needed)
- Feedback: $375
- Comprehensive Testing Package: $3400 (includes all components)
Please note that not all assessments require a full comprehensive assessment, particularly for children under the age of six or those interested in a screening for cognitive ability and/or academic skill development. Assessment prices include testing, scoring, and report writing.
Cotswold Psychology 