I vacillate between being full and having extremely limited availability. During periods when I do have an opening, my non BCBS session fee is $150 per 45-50 minute session. I am only in network with Blue Cross Blue Shield of Texas PPO plans. I am able to file sessions for patients who have coverage through BCBS of Texas. As of August 1, 2022, if you have a BCBS PPO plan, the maximum amount you would pay for a session with me is $92.04, while some plans cover all of my session fee and you pay nothing. The only way to know for sure is to contact your BCBS representative. 

 

While I am considered "out of network" with other insurance providers, I can still file out of network claims for patients with select insurance providers, such as Cigna and Aetna, depending on the provider. Some insurance plans have surprisingly great out of network benefits, so I highly recommend looking into what yours are. In some cases, with your permission, I can even look up the out of network information for you.

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Below are some helpful questions to ask your insurance provider:

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Do I have outpatient mental health insurance benefits?

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What is my OON deductible and has it been met?

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Do I have a copay or do I need to meet my deductible before coinsurance is activated? (Coinsurance means once you meet your deductible, your insurance begins paying a portion of the session fee, ie 60/40, 70/30 etc.)

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How many sessions per year does my health insurance cover?

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Is approval required from my primary care physician? (This is very rare nowadays but it is still worth asking.)