How fees work
The answers to what nearly everyone asks before a first session.
Insurance we work with
Vertex is out of network with insurance plans, so you pay for each session yourself. Nathan is not enrolled with Medicare or Medicaid. If you would rather see someone who bills your plan, we will gladly give you the names of colleagues.
Out of network with insurance plans
Not enrolled with Medicare or Medicaid
If you pay yourself
You pay at the end of each session by card, including HSA and FSA cards. There is no contract and no payment in advance. What sets the fee is the kind of session and how long it runs: 60 minutes for the first session and 50 for each one after. If we agree on longer sessions for exposure practice, that goes in your written fee first. You get the fee in writing before you start. A limited number of reduced-fee spots are open; ask how to request one. We ask for 24 hours' notice to change an appointment.
Receipts for reimbursement
Each month we give you an itemized receipt (a superbill) with the dates and kind of session, to send to your plan, which may reimburse part of out-of-network care. It carries a diagnosis code your insurer can see. Your plan decides whether it pays anything; ask it before you start.
An estimate in advance
If you pay without insurance, you have the right to receive a written good faith estimate of what your care will cost before you start. We give you one before the first session. If the final bill is $400 or more above the estimate, you can dispute it. The estimate is not a contract.
Checking your benefits
We do not check benefits, because we do not bill your plan. If you want to know whether your plan reimburses, call it before the first session and ask about out-of-network outpatient mental health services.
Would you like a written estimate?
Ask for it before the first session. We send it by email, with no obligation.