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.

INSURANCE REIMBURSEMENT: OUT OF NETWORK

Soho Integrative Psychological Services does not partner directly with insurance companies as an in-network provider. However, many of our clients can typically receive reimbursement of 50%-100% for our services from their insurance, once they meet their deductible, if and only if, their policy covers out-of-network psychotherapy.

REIMBURSEMENT CALCULATOR

We are delighted to share that we've formed a collaboration with Nirvana, 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.

Check Benefits

REIMBURSEMENT PROCESS

We strive to streamline the claim reimbursement process by collaborating with Reimbursify, a HIPAA-compliant third-party software platform designed to simplify claim submissions and enable you to monitor the status of your claims.

After you have paid for your sessions in full, you will receive a monthly statement from us. You can then use this statement to submit claims to your insurance company for reimbursement. Following this, you have three options to submit our claims to your insurance company for reimbursement.

1.

Through your insurance company directly: Most health insurance sites have their own process for reimbursement. To use their process, please call them and ask them about submitting claims for out-of-network therapy.

2.

Through our Portal: On our patient portal page, you can submit claims and monitor their status through our Reimbursify portal.

3.

Authorizing us to submit for you: If you prefer, our billing specialist can handle the submission on your behalf. Please reach out to billing@sohointegrativeEMDR.com for questions regarding submissions.

Please be aware that we offer this service as a courtesy and do not guarantee your insurance company's approval for reimbursement. While we strive to streamline the process to minimize claim denial, we cannot be held accountable for the policies or denials of claims by your insurance company. Regardless of reimbursement status, payment is required from you at the time of the session.

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.

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.

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 filing claims 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 provide a sliding scale with certain providers, though availability is quite limited and there is currently a substantial waitlist. To inquire further or to be added to the waitlist, please reach out to us by calling or sending a text to 646-585-1610.

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 reject your claim 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 say no if they don’t 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 steps should I take if my insurance rejects my claim?

If your insurance denies your claim, please reach out to them directly to seek clarity or check if additional information is needed. Although reimbursement discussions are primarily between you and your insurance provider, we're here to assist should they require more documentation from us. In that case, please contact billing@sohointegrativeEMDR.com for help with documentation.