Rates & Insurance
Like many providers in DC, I am not directly contracted with any health insurance companies, including Medicare.
However, if you have out-of-network benefits, you may be eligible for partial reimbursement (e.g., 50%-80%) after meeting your deductible. You'll receive a statement after each session to submit to your insurance for reimbursement.
See below for rates and details.
Rates for Clinical Services
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Initial Diagnostic Evaluation - 60 minutes (CPT Code: 90791-95): $250
Standard Follow-Up Sessions - 45 minutes (CPT Code: 90834-95): $235
Note: The added "-95" modifier indicates a telehealth appointment CPT codes. This modifier applies for all CPT codes conducted online.
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Initial 60-minute evaluation and a letter sent directly to providers: $300
Each additional letter (if needed): $15
Each 45 minute follow-up session (if needed): $235
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11-20 minutes: $135
21-30 minutes: $185
31-60 minutes: $235
Payment and Policies
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Full payment is expected at the time of the appointment. I use a secure online credit card processing system (most credit & debit cards, and some HSA cards, are accepted).
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If you need to cancel a session, please do so at least 24 hours in advance. If not, you may be charged the full session rate.
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Typically, every July 1, the rates are increased by $10
Out of-Network Insurance Information
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1) Check Your Benefits: Look for your out-of-network benefits in the Summary of Benefits on your plan with your insurance company. It may be found on their website, or in your sign-up packet. Some plans (like PPO or POS plans) are more likely to cover out-of-network sessions, compared to other plans (like HMO plans).
Key terms to research include:
Out-of-Network Deductible: The amount you pay before getting reimbursed.
Coinsurance: The percentage of the service fee you're responsible for, after meeting the deductible.
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2) Verify Benefits with Your Insurance Company: Call your insurance company to confirm details. Questions to ask:
How much of my deductible have I met this year?
What is my out-of-network deductible for outpatient mental health services? Your insurance provider may ask for what’s called a CPT code when asking this question; for weekly 45 min individual therapy, I use CPT code 90834-95.
Does my plan cover telehealth sessions?
What is my out-of-network coinsurance for outpatient mental health services?
Do I need a referral from an in-network provider to see an out-of-network therapist?
How do I submit claim forms for reimbursement?
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3) Get the Insurance Reimbursement Statement (i.e., Superbill) from Dr. Dunn: This document will be in your client portal, and it outlines your sessions and fees, which you'll submit to your insurance company for reimbursement.
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4) Submit & Possibly Receive Reimbursement: Submit claims to your insurance company to see if you can get partial reimbursement.