Frequently Asked Questions
Insurance and Payment
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At this time, insurance is not accepted. I am an Out-of-Network Provider, whom does not hold a contract with your insurance carrier.
Out-of-Network providers are paid directly by the client. Clients can submit claims and request for reimbursement after services have been rendered.
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We use a secure, online-based payment system developed specifically for therapists. This means that we never have to handle your card, instead you can enter your payment through their HIPAA-compliant program, which they store for future sessions.
Our clients either utilize the Out-of-Network benefits from their insurance plan or pay completely out of pocket. Clients will pay for each session and a superbill document may be provided (upon request) for you to submit to insurance for Out-of-Network coverage.
The coverage for Out-of-Network services may vary depending on insurance plans. You can contact your insurance company and ask about the Out-of-Network reimbursement rate. Below are some questions you can use to ask your insurance company for detailed information.
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There are no restrictions on how many sessions per year or how often you get to see your therapist
There is no restriction on the length of your therapy session
There are no restrictions on telehealth/ online therapy
There is no need to change your therapist if you change your insurance plan with work
There is no need to share your mental health information with insurance companies
You have the freedom to choose a therapist who can be the best fit for you, instead of being limited to therapists who are in network of your insurance
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Many private insurances (e.g. United, Premera, Cigna, Aetna, etc.) will reimburse you for mental health treatment if you provide a Superbill (provided upon request).
1) Call your insurance provider (the number on the back of your insurance card) to confirm this option.
I cannot guarantee you will be reimbursed.
2) Obtain a Superbill from your therapist.
A Superbill is a receipt for behavioral health services. This is used to help clients get reimbursement for services by their insurance.
When you ask your therapist for a Superbill and share it with your insurance company, know that you are disclosing Personal Health Information (PHI) such as a diagnostic code. Please review privacy practices with your insurance carrier if you would like to understand how they manage PHI.
3) Submit the superbill on your insurance company website
Log in and submit under “Claims”.
4) Once you submit your claim to your insurance company, your reimbursement will depend on your Insurance carrier’s policy.
Insurance companies will send you information about the coverage and direct reimbursement (typically by mail) for the services utilized. The amount is based on your insurance carrier and the plan you hold.
Here’s a website that can help you gain understanding and make the most of your Out-of-Network benefits: for detailed coverage information Out-of-Network Reimbursement Calculator
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Do I have out-of-network coverage for outpatient mental health services?
What is my annual deductible and has it been met?
What is the coverage for before and after I reach my deductible?
Do my expenses with out-of-network providers count toward the deductible?
Is telehealth/ online therapy covered by my out-of-network benefits?
What is the reimbursement rate for out-of-network providers?
What is the specific percentage or dollar amount coverage for out-of-network outpatient mental health services? You can use the CPT code 90791 for intake and 90834 or 90837 for ongoing sessions to check the specific coverage.
What information do you need for me to submit for out-of-network reimbursement?
Do you need a referral to see Out-of-Network providers? If so, where can I get a referral?
How many sessions per calendar year do you cover?
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There are a few ways to find out how much your insurance will cover for Out-of-Network services.
1) Look for the Out-of-Network benefits section for Mental Health Services on your insurance benefit document.
2) Call the customer service number on the back of your insurance card, and ask the agent about your Out-of-Network benefits using the CPT numbers provided in the question above.
3) Use the
Out-of-Network Reimbursement Calculator to find out how much your insurance will cover for the services.
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Please contact me for discounted rate by specifying this interest. I have allotted a limited amount of spots for this offering. The price varies determined by financial need.
Please note that a Superbill document for reimbursement is not offered for discounted rate clients.
For those experiencing financial hardship, please to the resources page.
If you started therapy with me and can no longer afford to keep seeing me for the full rate, please talk to me to discuss options so we can come up with a plan that fit your needs. Some likely options might be: 1) you and I agree to a reduced fee for a limited period of time 2) you and I spend the next few months thoughtfully transitioning you to another therapist who is in-network with your insurance company.
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Beginning January 1, 2022, federal laws regulating client care have been updated to include the “No Surprises” Act. This Act requires healthcare practitioners to provide current and potential clients a “Good Faith Estimate” (GFE) on the cost of treatment you can expect to pay. This new regulation is designed to provide transparency to clients regarding their expected medical expenses and to protect them from surprises when they receive their medical bills. It allows clients to understand how much their healthcare will cost before they receive services.
Therapy is a personal experience tailored to the needs of the client and the presenting concerns. Due to the nature of this unpredictability and my commitment to meeting and catering to the needs of every client individually, determining duration of treatment is ethically impossible. We will continue to review progress and make personalized decisions regarding both the frequency and duration of treatment periodically. Additional or less frequent services may be recommended based on your developing situation and progress.
This estimate of your costs is only an estimate and your actual charges may differ. This estimate is not a contract and does not obligate you to obtain clinical services from me. You have the right to terminate services at any time.
For questions or more information about your right to a Good Faith Estimate, visit Centers for Medicare and Medicaid Services.
Telehealth and Location Accessibility
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Sanaye Wellness operates out of WA State utilizing telehealth/ online services only.
At this time, telehealth services are preferred for the ability to see full facial expressions without the restriction of a mask.
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You will need a device with a camera (a computer or laptop with a webcam, tablet, or smartphone) and internet connection that is at least 10mbps.
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Telehealth increases access to care. With the ability to do therapy in the comfort of your home, you don’t have to worry about a commute to your appointment, allow extra time to park, or waiting in an office. Less time is taken out of your day!
Additionally, with the comforts of being in your home, you may bring items (e.g. fidget toys, pillows, blankets, scented candles) to your session to make our time as comfortable as possible. All that is required of you is stable internet.
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All information shared in sessions are kept completely confidential. Only incidents of health and safety are when confidentiality cannot be maintained. This is to keep you and those around you safe.
The video platform used is 100% HIPAA compliant. Other programs such as FaceTime and Skype are not HIPAA compliant.
Other Common Questions
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1) Reach out
Get in touch with me via email, phone, website, or other online directories. I will get back to you as soon as possible approximately within 3-5 business days.
2) Schedule a 10-20 minute complimentary phone consultation call
If you are interviewing several therapists, I recommend scheduling a free consultation call.
If you are pretty certain you want to work with me, I can get you set up with a client portal to fill out the initial paperwork. Once the initial paperwork is received, an intake appointment can be made.
3) Schedule an Intake Appointment
For all new clients, an intake (60 minutes) is conducted at the first full session to gather information of one’s biological, psychological, and social history and presenting issue. This allows the provider a full picture of the client in determining the best course of treatment moving forward. Therapeutic goals will be discussed collaboratively.
This is the only appointment that feels like an interview. Moving forward, therapy appointments feel more natural and conversational.
4) Get a Recurring Time Slot
After the first appointment, I prefer to work with clients weekly. This is important for building rapport. Also, having your appointment at the same time each week provides routine for building a good foundation of a new therapeutic relationship.
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Yes, the intake process starts with a free phone consultation that lasts approximately 10-20 minutes. This allows us time to get to know each other and answer any questions you have about starting therapy.
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All cancellations must be made at least 24 hours prior to the appointment time for no charge. Any late cancellations in less than 24 hour notice and no shows will be charged at the full rate.
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Yes, absolutely! You may opt to reschedule without charge within the same week. If this is not possible, be mindful of the cancellation policy (24 hour notice prior to your therapy appointment time).
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Therapy is the most effective when there is regular, consistent contact. Weekly appointments allow us to have the time to explore what is most pressing and concerning for you. Lengthy disruptions can make progress difficult.
I recommend meeting once a week for the first few months to build rapport and maintain momentum.
Our agreed upon appointment time is held for you each week and if you have a scheduling conflict, we can do our best to reschedule.
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Following the intake, every session thereafter will be 55 minutes.
Therapy is catered to each individual’s needs, the presenting issue, and your short and long term goals. Together we will collaborate how this can best be met. Due to the inability to predict your journey of growth and healing, determining the duration of treatment is ethically impossible.
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Just yourself! All important information including forms, payment, etc. is collected through an online client portal prior to your first appointment.