Please email me at jaimie@jaimiesharpe.com if you cannot find an answer to your question.
I treat individual adults experiencing symptoms related to:
I am in network with some insurance/EAP companies including:
My NPI is 1992042824 if you want to be sure I am in network with your specific plan.
***Please verify with your insurance company regarding copays and coverage.***
A few things to know about insurance:
1.Insurance does not cover Neurofeedback at this time.
2. If you choose to use insurance / EAP benefits for therapy, I am required to submit a Mental Health Diagnosis from the Diagnostic and Statistical Manual (DSM) - V - TR. It is important to consider this, as a diagnosis becomes part of your permanent medical record, which can have implications for future job prospects (such as military/government) or for obtaining insurance due to pre-existing conditions. Additionally, insurance companies may deny coverage for certain diagnoses or if you don’t meet criteria for a diagnosis, limit our treatment options, and audit my file, which will include full access to all of the clinical notes in your file.
3. I'm a one-person office and don't have administrative time for checking benefits, so this is your responsibility if you want to know what costs you can expect to have covered by your plan. Here are some questions you might ask your insurance company prior to our first meeting:
If I am an "In Network" provider with your insurance carrier: I will submit a bill to your insurance carrier for each session. You will be responsible for any fees not covered by your insurance except the contractual adjustment/s.
If I am an "Out of Network" provider with your insurance carrier: Full payment is required at time of service. I will provide a super bill, which you can submit to your insurance in efforts to acquire reimbursement.
A 40% discount is available for self-pay clients for therapy.
Consider these benefits to paying out of pocket for services and leaving insurance out of your mental healthcare experience:
CHOICE. Self-payment for therapy allows you to select a therapist who meets your specific needs and personality, without being limited to pre-approved providers within your insurance network. This provides flexibility in scheduling, wait times, and session lengths. The decision to self-pay offers a unique opportunity to take charge of your mental health journey, and should be made considering your financial situation and mental health needs
FLEXIBILITY. Insurance restrictions not only limit therapists but also control the mental health journey of clients. Self-payment for therapy offers a solution by giving yo complete control over the frequency, duration, and completion of therapy. With this freedom, you can tailor your therapy to your specific needs without the constraints of insurance regulations. Self-payment allows for a personalized and empowered mental health experience.
PRIVACY. Using insurance requires your therapist to assign a mental health diagnosis, which becomes a permanent part of your medical record. This may pose a privacy concern for those who prefer to keep their mental health journey confidential. Self-payment eliminates this concern, as therapists are not required to assign a diagnosis or share medical information with anyone. This provides a safer and more private space for clients to explore their mental health and/or substance use without fear of judgment or repercussions.
TIMELINESS. The increasing demand for mental health services can lead to extended wait times for clients seeking therapy within their insurance network. Furthermore, some insurance companies require pre-authorization for services, which can add further delays to scheduling appointments. This can be frustrating and cause undue stress for those in need of immediate support. Opting for self-payment eliminates these obstacles and offers more prompt access to therapy.
FOCUS ON YOU. Self-payment for therapy prioritizes a holistic approach that emphasizes personal strengths and growth rather than only addressing mental health concerns. In contrast, insurance companies require a mental illness diagnosis which, if you meet criteria for, may have implications for future insurance policies. If you don’t meet diagnostic criteria, therapy services may not be considered medically necessary, and insurance would be unlikely to cover the cost of services anyway. Choosing self-payment allows your mental health journey to be free from the constraints of insurance regulations and prioritizes your overall well-being.
Non-Discrimination Policy: It is my policy that clients are not discriminated against in the delivery of health care services based on race, ethnicity, national origin, religion, sex, age, mental or physical disability or mental condition, sexual orientation, claims experience, medical history, evidence of insurability (including conditions arising out of acts of domestic violence), disability, genetic information, or source of payment.
Copyright © 2023 Jaimie Sharpe LLC - All Rights Reserved