Service Fee Information

  • Insurance

    You can utilize your insurance benefits for mental health services. Defining Self will file the insurance for you so that you will only be responsible for copay at time of service. Current insurance providers accepted at this time:

    Aetna
    BCBS

    Please note, while Defining Self is in network with most plans under these insurance panels, there are a few exceptions, including: BCBS Value/Local/HPN/EPO, and Aetna Duke plans.

  • Private Pay

    You have the option to opt out of using insurance and paying for for private pay sessions. Some clients choose private pay for a few reasons: First, a diagnosis is not required to justify treatment and is not apart of your health record. Second, you will have more flexibility with your treatment, as insurance will not be involved to determine session treatment, session length number of sessions, or frequency. You and your therapist will collaborate to determine your treatment.
    Defining Self provides 60 minute private pay sessions for $165.

  • Out of Network Benefits

    If Defining Self is not in network with your insurance but you want to attempt to use insurance benefits, then the practice and your therapist is considered an “out of network provider” according to your insurance, meaning therapist is not contracted with your insurance and reimbursement is not guaranteed unless specifically outlined in your policy. You do have the right to request a super bill that you can submit to your insurance for possible partial reimbursement. A super bill will outline the services you received with your therapist and can be generated by our electronic health system and sent to the portal for your review. You are responsible for submitting your super bill and are encouraged to contact your insurance in regards for best avenues for submission. If you are hoping to be reimbursed, you are encouraged to call your insurance directly to inquire about your out of network coverage before beginning services.

Defining Self accepts Visa, MasterCard, Discover, American Express, and HSA/FSA cards and Cash.

Good Faith Estimate Disclosure

Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.

  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your psychological service. You can also ask your healthcare 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 www.cms.gov/nosurprises or call 1-877-696-6775.