Fees & Insurance

Fees & Insurance

We are not in-network with any insurance panels, though many of our patients are able to utilize their out-of-network benefits to pay for some or most of our fees. Superbills are provided monthly and we are able to help with additional insurance paperwork if needed for coverage. Limited sliding scale available for those without out-of-network coverage.

Please contact us to discuss fees and need.

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Check your Insurance

Like many specialists in New York City, Dr. Abigail Nathanson and her team work as "out of network" providers and will provide you with monthly superbills that you can submit to your insurance company for reimbursement.

Ask your insurance about your "out-of-network mental health benefits" by calling the member number on the back of your card, and asking the questions found below.

*Please Note - Medicare does not have out of network coverage for mental health.

If you do not have out-of-network benefits and need to use your insurance to access care, please contact your insurance provider for a list of available in-network clinicians. Unfortunately, Dr. Nathanson does not have a list of specialist providers who accept insurance, and sliding scale spots are currently all full. You can also check places such as psychologytoday.com, zencare.com and helloalma.com for more therapist directories by insurance and specialization.

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Receive Superbill

Make sure you are properly submitting your “Superbill.” It contains a list of services rendered in a given month, amount paid, provider license and NPI, as well as location and diagnosis codes. It will be emailed to you monthly, and can be accessed from your secure client portal at any time.

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Submit to Insurance

Your insurance company will let you know the best way to submit your superbill and claims- sometimes there is a separate form from the insurance company, and sometimes the superbill is enough. Many patients with out-of-network coverage find that 50-80% of their bills are covered after deductible, and that they are reimbursed 4-8 weeks from submission.

FAQs

Do you accept my insurance?

No, we are not in-network with any insurance providers. If you have out-of-network coverage, you may get 50-80% of the cost of therapy covered, otherwise the cost is out-of-pocket. Recognizing that those with in-network insurance coverage only can be limited in where they can receive specialized help, we can do a limited sliding scale in certain circumstances.

How do I find out if I have out-of-network coverage?

Start by checking with your insurance. Below you will find a list of questions to ask your insurance provider.

Questions to Ask Insurance

  • 1. Do I have out-of-network mental health benefits ?

  • 2. Is there a limit on sessions my plan will cover per year? If Yes, How many?

  • 3. Does my policy cover 45-minute sessions (CPT Code: 90834-95)? If yes, how many, and what is the reimbursement?

  • 4. Is there a co-insurance, copay or other cost I must meet for out-of-network coverage?

  • 5. What is the policy year (i.e. Jan 1 – Dec 31)?

  • 6. Does my plan require pre-authorization for psychotherapy?

  • 7. Is there a deductible I must meet prior to coverage? How much of the deductible have I already met?

  • 8. How do I submit for reimbursement, and how long do I have to submit my superbill (can I do a few months' worth at a time)?

  • 9. Is there any limitation on teletherapy visits?