Rates
Standard Fee Schedule
| CPT Code | Descriptor | Standard Rate |
|---|---|---|
| 90791 | Psychiatric Diagnostic Evaluation | $225 |
| 90837 | Individual Psychotherapy, 60 mins | $175 |
| 90834 | Individual Psychotherapy, 45 mins | $160 |
| 90853 | Group Psychotherapy, 120 minutes | $75 |
| 90846 | Family Psychotherapy (w/o patient present), 50 mins | $160 |
| 90847 | Family Psychotherapy (w/ patient present), 50 mins | $160 |
| 90839 | Psychotherapy for Crisis, first 60 mins | $175 |
| 90840 | Psychotherapy for Crisis, each additional 30 mins (add-on) | $90 |
| 90785 | Interactive Complexity (add on) | $25 |
All major debit/credit cards and HSA/FSA cards are accepted (via Stripe). Payments are due at the time of service.
Insurance
Wise Growth Therapy LLC is in-network (INN) with:
- Blue Cross Blue Shield of Michigan
- Blue Care Network (Michigan)
- UnitedHealthcare/Optum
In-network (INN) services: Although I verify insurance benefits as a courtesy, it is your responsibility to know your insurance benefits and what your specific plan covers. You will be responsible for any co-pays, deductibles, coinsurance amounts, or out-of-pocket calculations that your health insurance company requires.
Out-of-network (OON) services: It is your responsibility to contact your insurance company to verify OON benefits. The full standard fee will be due at the time of service and I will provide you with a superbill to submit to your insurance company. Your insurance company may only reimburse a percentage of the session fee. Please understand that your insurance company may reject your request for reimbursement and you will be responsible for all costs associated with therapy. Most insurance companies require a mental health diagnosis listed on the superbill in order to be eligible for OON reimbursement.
Cancellation Policy
Appointment times are set aside specifically for you and are difficult to fill with late notice of cancellation. I require at least 24 hours’ notice if you need to cancel or reschedule an appointment. You may call, email, or text to inform me that you will be unable to make your appointment. Sessions that are cancelled or missed without 24 hours’ notice will incur a $75 cancellation fee (except in cases of an emergency or extenuating circumstance). If you know that you’ll be late to an appointment, please let me know and I will wait for you (sessions that start late will still end on time and will not be pro-rated).
No Surprises Act
- 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.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
- Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit cms.gov/nosurprises.