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Insurance Rates​

We accept Aetna (NY, PA) and Highmark (PA) insurances where contracted rates vary per service.  

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Private Pay/Out-of-Network Rates​

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$250 - Diagnostic Evaluation - 60 minutes - CPT Code 90791

$185 - Individual therapy - 60 minutes - CPT Code 90837

$150 - Individual therapy - 45 minutes - CPT Code 90834

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$40-$50 - Support/Therapy group session - 60-75 minutes 

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Specialized treatments

$250 - EMDR - 60 minutes 

$225 - Couples therapy - 60 minutes 

$400 - Discernment Counseling - 90 - 120 minutes

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Coaching package, consulting and supervision rates are available upon request.​​​​​​​​​​​​​​​​​​​

Out of Network

"Out-of-Network" Information

 

WCA does not accept my insurance for counseling services. Can I still get reimbursed?​*

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Possibly. At this time we only accept Aetna (NY, PA) and Highmark (PA) insurances. PPOs usually offer this benefit vs. HMOs.  You still should contact your health insurance company and ask if they would reimburse you for receiving clinical services with an "out-of-network" provider. We can provide you with a receipt, aka "superbill," for you to submit to your insurance company for direct reimbursement. They will ask for our professional information, such as license, a diagnosis and charges. Also note that the insurance company may request a copy of your medical records.  We will easily provide any information that you may need in order to facilitate this process.  The advantage to considering out-of-network providers is that you get to choose the therapist that you want without being limited to a list of insurance providers in the network.   ​​

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Learn more about out-of-network providers (Source: Thrizer)​

 

Challenges for psychologists and insurance (Source: APA)

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*We utilize a payment platform that assists clients with out-of-network provider reimbursements if offered by your health insurance. Don't forget to ask about this platform that takes the guesswork out of getting some money back from insurance.

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Questions for your insurance company regarding out-of-network mental health benefits

  • What percent of the fees will I be reimbursed for an out-of-network provider?

  • What are the maximum fees covered for the initial session – CPT code 90791?

  • What are the maximum fees covered for individual psychotherapy sessions – CPT code 90834?

  • Are extended sessions covered – CPT code 90837 and if so, what are the maximum fees?

  • How many sessions of psychotherapy are covered per year?

  • Is my mental health deductible part of, or separate from, my medical deductible?

  • What is my yearly mental health and/or medical deductible?

  • How much of my deductible have I met this year?

  • What is the procedure for reimbursement?

  • Do you require pre-approval or pre-certification of sessions?

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