INSURANCE: I do not accept insurance except for Medicare. You may be able to receive partial reimbursement from your insurance company by submitting a billing receipt. I ask for payment at the time of your appointment and accept cash, check, and credit cards. Medicare covers part of the cost of mental health care; if you have secondary insurance, it may cover all or part of the remainder. Whatever charges remain will be billed to patients directly. THE FIRST VISIT, which is considered a psychiatric evaluation, is a one-hour (for adult) or one and one-half hour (for under 18 patients) appointment which involves my getting an initial view of you and your concerns. Additionally, I will ask about your medical history, any previous psychiatric and psychological treatment, your educational and work history, your childhood and family history, and your current mental state. If available, I will review any reports of psychological or psycho-educational testing and medical and laboratory test reports. I will give you my initial diagnostic impressions and tell you if I think any further tests or evaluations would be helpful. I may provide some initial suggestions regarding treatment and discuss medication when it might offer benefit for your situation. I may offer referral to other clinicians if specialized services are indicated. I usually urge that a followup time be set to review progress within one month and often ask that patients call during the weeks in between the first and followup medication review session. Fee: $300 (adult evaluation) $400 (under 18 years of age evaluation)
When children are evaluated, I find that treatment runs more smoothly if everyone can sit down together at the start. Therefore, I expect that all parents and significant caregivers will participate in the evaluation process. While I can meet separately with parents living apart, the length of time and cost of the evaluation are shortened by all caregivers coming together at the initial visit.
INDIVIDUAL MEDICAL PSYCHOTHERAPY (45 minutes) is a time usually scheduled by ongoing psychotherapy patients for a full psychotherapy session. Upon occasion, someone seeing me just for medication may opt to use this code if they feel they need more time to discuss their concerns. Fee: $160
MEDICATION REVIEW SESSION (Individual Medical Psychotherapy - 30 minutes) is a time for reviewing progress related to the use of medication or a briefer time for discussing psychotherapeutic issues. Fee: $130
EXTENDED SESSIONS may be held when there is need for a more intensive experience or family meeting. 60 minutes ($220) or 90 minutes($330).
INSURANCE AUTHORIZATION allows patients to put their problem obtaining a medication due to an insurance limitation on my schedule to address. This may involve placing a call to your insurance company, axing back forms, and calling your pharmacy. Fee: $ 40 (more or less based on time involved)
BRIEF PHONE CALL (5 minutes) may be scheduled for the purpose of adjusting dosages of medication or checking in on its effect after an in-person visit. Ordinarily, no new medication will be prescribed during a phone call. 1st call between sessions - no charge; 2nd and additional calls - $20 each for brief calls or fee pro-rated based on time required. I recommend that patients come back in for an in-person visit after three calls between appointments.
GESTALT TRAINING INTERVIEW: see webpage for PA Gestalt Center. Fee: application fee for training program
EXTRA PRESCRIPTIONS BETWEEN APPOINTMENTSDuring your in-person appointment, you can expect to receive a sufficient number of refills to cover the time between appointments. Lost prescriptions, changes of insurance, or changes of pharmacies, require extra time and are billed at $10 per prescription. Please check your pharmacy coverage and have the necessary information at your appointment to determine whether you have a mail-order pharmacy and how many days of medication are allowed at both local and mail-order pharmacies.