Payment & Fees
Out of Network/ Self Pay
Out-of-Network (OON) Care
Out- of- Network means that visits are paid in full at the time of the appointment rather than submitted to insurance for payment, allowing for comprehensive, individualized care without insurance-driven limitations.
This does not mean that insurance has no role. Many insurance plans include Out of Network Benefits.
Reimbursement
Many patients are able to use their out-of-network benefits, which provide partial or, in some cases, full reimbursement of visit costs.
A detailed receipt (superbill) is provided upon request, which is what insurance companies typically require to process out-of-network reimbursement.
FSA (Flexible Spending Account) and HSA (Health Savings Account) funds may also be used toward visit fees.
Why This Practice Is Out-of-Network
My goal is to provide personalized, developmentally informed psychiatric care without insurance-driven limitations.
Child and adolescent care often involves:
• Parent meetings and collateral history
• Coordination with schools and other providers
• Careful diagnostic formulation over time
• Thoughtful medication management with close monitoring
The out of network model allows for:
•Adequate time for careful assessment and follow-up.
•Continuity with a single treating physician.
•Thoughtful medication management.
•Treatment decisions guided by clinical needs rather than coverage rules.
This out-of-network model allows me to work collaboratively with families to provide thoughtful, consistent care over time.
Questions to Ask Your Insurance Company
Do I have out-of-network benefits for psychiatry?
What percentage of each visit is reimbursed?
Do I have an annual deductible and how much is it?
Are there limits related to diagnosis or visit frequency?