Rates, Insurance & Other Policy Information

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Integrating modern hypnosis, clinical psychology, and eastern philosophy to foster real and lasting change.

Dr. Sera Lavelle, Ph.D, CHt is New York's expert in using hypnosis and integrative therapy for weight loss, compulsive behaviors, anxiety, and a variety of issues related to confidence and motivation. She has been written about in Elle Magazine and Allure and helped hundreds of people overcome their difficulties.

Integrating modern hypnosis, clinical psychology, and eastern philosophy to foster real and lasting change.

Dr. Sera Lavelle, Ph.D, CHt is New York's expert in using hypnosis and integrative therapy for weight loss, compulsive behaviors, anxiety, and a variety of issues related to confidence and motivation. She has been written about in Elle Magazine and Allure and helped hundreds of people overcome their difficulties.

225
$
/ session

Rates

Our standard 45-minute psychotherapy sessions are priced at $275, and 60-minute sessions are $350. Payment is required in full at the time of the session, irrespective of any insurance reimbursement you may receive.

Billing

Soho Integrative EMDR is a division of Soho Integrative Psychological Services, PLLC. Therefore, when you receive a bill for our services, it will come from Soho Integrative Psychological Services. As licensed psychologists, we offer psychotherapy, using various therapeutic techniques to provide psychological services.

WE ARE NOT IN-NETWORK

Insurance Reimbursement
Soho Integrative Psychological Services is an out-of-network provider and does not accept insurance directly. However, if you have a PPO health plan, you may be eligible for reimbursement. Most PPO plans cover 50%-100% of our services after you meet your deductible, and many of our patients with PPO plans receive reimbursement.

Plans that do not reimburse for our services
If you have Medicare, Medicaid, an HMO, or a government-affiliated health insurance plan, your provider will not reimburse for out-of-network services. These plans only cover providers within their approved therapy network.
  If you are insured through Fidelis Care, Healthfirst, MetroPlus Health, or EmblemHealth, please note that these plans do not typically provide reimbursement for our services.

REIMBURSEMENT CALCULATOR

We are delighted to share that we've formed a collaboration with Mentaya, a HIPAA-compliant platform, to assist you in comprehending your benefits. Please be aware that this is an added service to aid in verifying your benefits, but we do not guarantee its accuracy or your insurance company's commitment to reimbursement.

If no results are returned, it means that you are not eligible for reimbursement.

Check Benefits

COURTESY STATEMENT SUBMISSION

We understand that our patients have busy lives, so we offer two options for submitting your statements for potential reimbursement. We will provide you with statements at the end of each month, at which point you can:

1.

Submit the statements for reimbursement yourself directly to your insurance company.

2.

Let us handle the statement submission for you, saving you time and effort.

If you choose to have us submit your claims for you, please note that this works just as if you or your personal assistant handle the process on your behalf. We will submit your statements, but we cannot guarantee that your insurance provider will reimburse you. If your insurance company does not reimburse you, it is your responsibility to contact them, understand the reason for the denial, and work with them directly to resolve any issues. If you’d like us to handle the statement submission on your behalf, there is a one-time $25 setup fee.

For more details, please contact our billing coordinator at billing@sohointegrative.com.

Lateness policy

Please make sure to arrive or log in 10 minutes before your confirmed appointment to begin promptly. Your time slot has been specially reserved for you, and typically, another client session is lined up right after yours. Keep in mind, you'll be billed the complete session fee even if you don't start on time. If you are more than 15 minutes late, your appointment will be cancelled and you will be charged the entire session fee.

Cancellation Policy

We kindly request a minimum of 48 hours notice if you need to cancel an appointment. Missed appointments or cancellations with less than 48 hours notice will incur the full session fee.

FAQ ABOUT RATES AND INSURANCE REIMBURSEMENT

1.Do you take insurance?

We do not accept insurance as we are an out-of-network provider. Being out-of-network means that we have not entered into a contract with any insurance companies to provide services at predetermined rates. Consequently, full payment is required at the time of service. You may be entitled to reimbursement, however, if your insurance provides out-of-network reimbursement for mental health services.

2. Do all plans cover out-of-network mental health?

No, not all insurance plans cover out-of-network mental health services. Insurance coverage for mental health services, especially for out-of-network providers, varies widely among different plans and insurance companies. HMO’s and government plans very rarely reimburse.

Some plans may offer partial reimbursement for out-of-network mental health services, while others may not provide any coverage at all. Even within plans that do offer out-of-network benefits, the reimbursement rate, deductible, and process for submitting statements for reimbursement can differ significantly.

3. When and how will I receive my statement for reimbursement?

Your statement for reimbursement will come through your Simple Practice Patient Portal at the end of each month after sessions are paid in full. If you would like it earlier, please contact your therapist directly.

4. What CPT do you typically use?

Our regular sessions are coded as 90834, which simply means it's a standard 45-minute individual therapy appointment. Some insurance companies, like Aetna, might need a modifier, number 95, on your paperwork. Please let us know if you need this additional code added to your statements.

5. Are there sliding scale options?

We do not offer a sliding scale, but proudly support organizations that offer sliding scales and are happy to help you navigate that process. Please refer to our "Affiliated Providers" page for our recommendations.

6. Do you accept cash, credit cards, or checks?

Payment is processed through our portal and we accept only credit cards or HSA (Health Savings Account) credit cards. However, we welcome all types of credit cards for your convenience.

7. What are some reasons insurance won’t reimburse for services?

Your insurance might not reimburse for a few reasons, like a small mistake when you submit it, using the wrong code, or because you haven’t met your deductible yet. They might also not cover therapists who aren’t in their network. Make sure to check that you have out-of-network coverage before you start therapy.

8. What should I do if my insurance does not reimburse me or I get a lower amount than expected?

If your insurance does not reimburse you or reimburses a different amount than expected, please reach out to them directly to seek clarity. We can guide you on the right questions to ask. Although reimbursement discussions are between you and your insurance provider, we're here to assist should they require more documentation from us. In that case, please contact our Clinic Coordinator at billing@sohointegrative.com for help with documentation.