How long are the sessions?

Individual and couples’ sessions are 45-50 minutes.

Third-Party Reproduction Consultations are 60-minutes

How do I set up an appointment?

Just give me a call (267-507-5574) or send an email (jamiesilversLCSW@gmail.com), and we’ll get something scheduled! Once the appointment is confirmed, please print and complete the intake forms prior to the first session.

What is your cancellation policy?

Cancellations need to be made 24 hours or more before your scheduled appointment. The same applies to no shows. To help avoid this, I can provide reminders via text (if requested).

What are your fees? *Effective June 2023 new clients

Initial Intake Consultation (Therapy): $250 - 60 minutes

Individual and Couples Therapy: $160 - 45-50 minutes

Third Party Reproduction Consultations for Intended Parents: $250- 60 minutes

Gamete Donor/Gestational Carrier Evaluation & Screening- $350 (not including PAI) or $500 (including PAI testing)

Other Professional Item/ Service Fee(s):

Legal Fee(s) / Court Attendance: $1,000 at time of subpoena, which secures commitment for a half-day. Additional required court time will be billed at $250.00 per hour. The time that I spend preparing, copying and mailing documents including records, letters and reports will be billed at $175.00 per hour.

Payment Methods:

I accept payment by credit/debit/FSA/HSA via the IvyPay app, or Venmo (PRIVATE setting only) due prior to each appointment.

Late Fees:

Full payment of services is expected at the time of service unless otherwise agreed upon. No more than two missed payments will be permitted. No show/late cancellation: $160

Cancellations:

My cancellation fee ($160) will occur if notice has not been given within but prior to 24 hours before your appointment, except in cases of emergencies.

Insurance:

I am not in-network with insurance providers; however, services may be covered in full or in part by your health insurance or employee benefit plan if your insurance carrier allows you to choose an out-of-network provider. Please contact your insurance provider to obtain information regarding your mental/behavioral health out-of-network benefits. Superbills can also be provided upon request to submit to your insurance company for possible reimbursement. Please be aware that if you request a Superbill, I am required to assign a diagnosis. Unfortunately, carriers will not reimburse without a diagnostic code on the invoice. Some clients have no concern about their insurance company having this kind of information and some do.

Here are a few questions you can ask your provider regarding benefits:

1. Do I have mental health benefits?

2. What is my deductible and has it been met?

3. How many mental health sessions per calendar year does my insurance plan cover?

4. How much does my plan cover for an out-of-network mental health provider?

5. How do I obtain reimbursement for therapy with an out-of-network provider?

6. What is the coverage amount per therapy session?

7. Is approval required from my primary care physician?

What is a Superbill? What do I do with it?

A superbill is an invoice your therapist provides you when they are not in network with your insurance panel. This invoice has information such as dates of sessions, a diagnosis code, and other personal information such as your date of birth and address.

Once you have a superbill and have clarified your insurance coverage, you can submit this to your insurance for reimbursement. The timeframe and percentage of reimbursement depends upon your individual policy and coverage.

What are sessions like?

I work to make sure you get an individualized approach that works for you. Some clients prefer more structure and homework assignments while others prefer a more laid-back approach. There are clients who want more directive feedback and those who simply need a compassionate ear.

During the first session, I really try to get a sense of what brought you in and what you’d like to get out of counseling. I typically ask a lot of questions so I can get a clear picture on how I can help.

Is therapy really confidential?

Anything you tell me is completely confidential; however, there are a few circumstances that would require me to break confidentiality. If you report that you are in imminent danger of harming yourself or someone else or you report child/elder abuse or neglect, I am legally required to break confidentiality as a mandated reporter.

How much will it cost to receive services?

The cost of services depends on a number of factors including your provider’s fee, frequency of services, and duration of treatment. You can receive an estimate of service costs as described below.

As of January 1, 2022, under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

• Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

• Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.

  
  
  

  YOUR RIGHTS AND PROTECTIONS AGAINST SURPRISE MEDICAL BILLS

  
  
  

  When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.

  
  
  

  What is “balance billing” (sometimes called “surprise billing”)?

  
  
  

  When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.

  
  
  

  “Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.

  
  
  

  “Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care - like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.

  
  
  

  You are protected from balance billing for:

  Emergency services-

  If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.

  Certain services at an in-network hospital or ambulatory surgical center-

  When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensive services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.

  If you get other services at these in-network facilities, out-of-network providers can’t balance bill you unless you give written consent and give up your protections.

  You’re never required to give up your protection from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.

  
  
  

  When balance billing isn’t allowed, you also have the following protections:

  • You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.

  • Your health plan generally must:

    • Cover emergency services without requiring you to get approval for services in advance (prior authorization).

    • Cover emergency services by out-of-network providers.

    • Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.

    • Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.

      If you believe you’ve been wrongly billed, visit cms.gov/nosurprises for more information about your rights under Federal law.