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  • Rates & Insurance

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    Rates

    Therapy requires two-steps. The first is a 90-minute diagnostic interview, followed by 50-minute therapy sessions.

    $250 for 90 minute for diagnostic interview

    $215 for 50 minute session

    $950 for Teen Intervene Program

    Assessment Fees-

    Assessments are billed at $250 per hour. Most assessments require between 3-6 hours, but total hours can vary based upon the number of tests used, complexity of mental health challenges, and other factors. The hourly fee includes the cost of each test used, time spent with provider, and the provider’s time to score, interpret, and write assessment results. Please schedule a complimentary 15-minute consult for a personalized fee estimate. 

    Insurance

    Pinnacle Psychology accepts the following insurance plans:

    Tricare– All Regions

    As of March 2, 2022, Dr. Bigler is NOT accepting any new insurance based appointments for Blue Cross Blue Shield, Aetna, or CIGNA policies. Exceptions made to insurance policy only when referred by certain medical/ mental health professionals. This change will not affect current patients.

    Most PPO and POS insurance policies include out-of-network benefits, and will likely be eligible for reimbursement for out-of-pocket costs for mental health services. If your policy does have out-of-network coverage, Pinnacle Psychology offers Concierge Billing to help simplify the reimbursement process. See below for details.

    Concierge Billing for Out-of-Network Insurance

    We do provide convenience billing services to those wishing to use out-of-network insurance. Pinnacle Psychology will submit a claim on your behalf to seek direct reimbursement for services after paying out-of-pocket. Prior to your first appointment, if requested, you will receive a step-by-step guide on how to use your out-of-network insurance benefits at Pinnacle Psychology, PLLC.

    We gladly will submit reimbursement claims on your behalf*, free of charge. When starting therapy, people are most often at a place in their life where they are overwhelmed, and dealing with insurance companies can seem daunting. As such, we will do our best to make this process as simple and easy as possible, so you can focus on your mental health treatment and reaching your Pinnacle Mental Health.

    *This service is not available for those with BCBS plans.

    Depending on your current health insurance provider or employee benefit plan, it is possible for services to be covered in full or in part. Please contact your provider to verify how your plan compensates you for psychotherapy services.

    I’d recommend asking these questions to your insurance provider to help determine your benefits:

    • Does my health insurance plan include mental health benefits?
    • Do I have a deductible? If so, what is it and have I met it yet?
    • Does my plan limit how many sessions per calendar year I can have? If so, what is the limit?
    • Do I need written approval from my primary care physician in order for services to be covered?

    Payment Options and FAQ

    Will my health insurance plan cover the cost of treatment?

    Pinnacle Psychology will provide invoice statements with all the necessary information needed for you to submit the claim to your insurance company. This will allow for partial-to-full reimbursement, depending upon your specific insurance plan. Since many insurance companies support ‘out-of-network’ coverage, most will reimburse between 50%-100% of charges after deductibles, thus a portion or most of your care could be covered. For your specific insurance benefit plan coverage, please give your insurance carrier a call for more information.

    Why “Out-of-Network” coverage?

    Forever, mental health insurance reimbursement has been significantly less than any other field of medicine, despite the fact that mental health visits require more time spent with each patient. Insurance companies mandate quick, short visits that only allow for limited treatment. As each patient is aware, this time spent with the psychiatrist is so important. Taking the time to go over symptoms, reviewing history, examining and discussing treatment options, reviewing and adjusting medications, explaining the risks and benefits of all treatments (including medications), providing brief supportive and cognitive therapy, talking with family, coordinating with counselors (when needed), providing the best treatment referrals needed (not just providers on a handout list), and coming to an inviting office with front office staff that welcomes you). As “out-of-network’ providers, The Arizona Schwartz Group can provide the comprehensive care each patient deserves. This allows for much greater flexibility and time devoted to your care without the pressure or mandate by health insurance carriers. Payment is requested at the completion of each session.

    Payment Options

    I accept cash, check, Health Saving Accounts, and all major credit cards as forms of payment. I also accept payment directly through the client portal.

    Cancellation Policy

    If you are unable to attend a session, please make sure you cancel at least 24 hours beforehand. Otherwise, you may be charged for the full rate of the session.

    Any Other Questions

    Please contact me for any additional questions you may have. I look forward to hearing from you!