Fees & Insurance
My current fees are listed below. Payment is due at the time of service, and I can provide documentation for possible out-of-network reimbursement.
If cost is a barrier, please feel free to reach out. I aim to maintain flexibility whenever possible and am happy to discuss fee arrangements based on individual circumstances.
If you are hoping to use in-network insurance benefits or are having difficulty finding available in-network care, additional information and resources are provided below.
Fees
Individual Psychotherapy
$230 per 50 minute session
Psychotherapy for Couples
$275 per 50 minute session
$325 per 75 minute session
Assessment & Evaluation
$230 per hour, total cost varies by scope
Out-of-Network Reimbursement
As an out-of-network provider, payment is made directly to my practice at the time of service. Upon request, I can provide a superbill that you may submit to your insurance company for possible reimbursement.
Many insurance plans offer partial reimbursement for out-of-network mental health services, though coverage varies considerably between plans. I recommend contacting your insurance company directly to better understand your specific benefits, deductible, and reimbursement rates.
Insurance & Access to Care
Why am I not in-network?
Major insurers in the Madison area — including Quartz and Dean Health Plan/Medica — are not accepting new providers into their networks despite ongoing demand for mental health care.
As a result, many psychologists and therapists who want to participate with these insurance plans are unable to do so. Individuals trying to use their insurance benefits for therapy may then encounter long waitlists, limited availability, or provider directories that do not accurately reflect real appointment access. This can be especially challenging for those seeking specialized care, longer-term and weekly therapy, psychological assessment, or services with a doctoral-level clinician.
If this has been your experience, you are not alone. I’ve included some resources below that may help you better understand your options and advocate for access to care.
Insurance Resources & Support
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Federal and state mental health parity laws generally require insurance companies to provide mental health benefits comparable to medical and surgical benefits. In principle, mental health care should be no more difficult to access than other forms of healthcare.
In practice, however, many patients continue to encounter greater barriers when seeking behavioral health services, including limited provider availability, long waitlists, and inaccurate provider directories. If your health plan includes mental health benefits, you have a right to expect that care will be meaningfully available and accessible.
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A reasonable effort to locate in-network care generally means contacting five to 10 providers listed by your insurance company as in-network and accepting new patients. Your insurer’s website should have a directory with search filters — this is a good place to start.
If you have contacted five to 10 listed providers and still cannot access appropriate care within a reasonable timeframe (one to two weeks for urgent needs and two to four weeks for routine care), you may wish to call your insurer’s customer service department and ask about:
a network gap exception
a single case agreement
authorization for out-of-network care at in-network benefit levels
help locating an available provider
whether the directory accurately reflects real appointment availability
It may also help to keep a simple record of:
which providers you contacted
when you contacted them
whether they responded
what you were told about availability
Insurance companies sometimes request this information when reviewing requests for out-of-network coverage assistance. Also, it may help to track down your “Evidence of Coverage,” which you can access through your insurance portal, employer benefits or HR portal, or by requesting it directly from your insurer. This document, which is typically about 100 pages long, outlines what your insurer must do to fulfill its contractual obligations when you can’t find an in-network provider.
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“I have contacted a reasonable number of providers listed in your directory as in-network and accepting new patients, but I have not been able to access appropriate care within a reasonable timeframe. I would like to discuss my options for obtaining covered behavioral health treatment, including a network gap exception, single case agreement, or authorization for out-of-network services at my in-network benefit level.”
Ask for the representative’s email address and put the request in writing — and ask the representative to reply the same way.
You are also welcome to provide my practice information to your insurer as an example of the type of provider you are seeking, if you feel my training, approach, or services are clinically appropriate for your care.
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Do I have out-of-network mental health benefits?
What is my out-of-network deductible?
What percentage of the fee is reimbursed after the deductible is met?
Do I need prior authorization?
Can I request a network gap exception if I cannot find an available in-network provider?
Can I request a single case agreement with an out-of-network psychologist?
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If you have questions about fees, insurance, flexible fee arrangements, or whether my services may be a good fit for your needs, you are welcome to reach out.