Insurance Information
Treating Your Mental Health Is An
Investment in You
Understanding your individual insurance information along with the cost of private pay therapy can feel confusing & overwhelming. We’re here to help you understand your insurance information, private pay services & Out-of-Network (OON) billing.
Understanding Your Insurance Information
& Out-of-Network Coverage
Follow the steps below to get the insurance information you need.
Step 1: Call your insurance company
You can locate the member services phone number on the back of your insurance card.
Step 2: Find out if you have out-of-network benefits
Ask the rep: “Does my plan include *out-of-network* benefits for mental health care? Specifically, for teletherapy/psychotherapy ?”
Step 3: Find out if you owe a deductible before the coverage kicks in
Ask the rep: “Do I have a deductible for out-of-network mental health services, and if so, what is the remaining amount I would have to pay before my health plan starts to reimburse me for any fees I pay out-of-pocket?” It is also good to ask when the plan restarts and the deductible resets (typically, plan deductibles reset in January)
Step 4: Find out how much your plan will reimburse you
Ask the rep: “What is the maximum amount my plan will reimburse for mental health service code 90837 with a Psychologist?” If the rep does not provide a clear answer, ask: “What is the maximum allowed amount for mental health service code 90837 with a psychologist, and what percentage of the maximum allowed amount will my plan pay?” (This percentage of the maximum allowed amount is the amount you would receive as reimbursement.) We hope this helps!
Cost of Therapy With
Fully Licensed Providers
Cost of
Ketamine Assisted Psychotherapy (KAP)
Affordable Therapy at Mind by Design:
"Pay What You Can" Program
» Before You Begin
Clients participate in a brief consultation phone call which allows them to set their own rate for services. There is no minimum and the rate is the decision of the client based on their financial needs. During this call, you will schedule your intake assessment and will also gain access to a Patient Portal Account.
» Intake Assessment
When working with a graduate level intern, the cost of services are set by the client during the consultation call with our client care coordinator
» Your First Session
Clients working with providers through our affordable online therapy program are provided with the care and dedication as all the clients at Mind by Design. Clients participate in their “intake “session”, which involves a 60-90 minute assessment to comprehend your needs and goals.
» Follow-Up Sessions
Together, you and your therapist will create a schedule that works to meet on a weekly basis.
Each follow up session is 50 minutes long and hosted on our HIPAA compliant tele-therapy platform through the Patient Portal.
Why We decided to
Leave Insurance Panels...
PRivacy
- Your private information is not required to be submitted to your health record
- Parents of children & teens in therapy do not have to worry about their child’s assessment or diagnosis impacting them negatively.
- You don’t have to worry that the Medical Information Bureau records your information.
Choice & Voice
- Private pay clients decide on the frequency & duration of therapy instead of treatment being dictated by insurance companies. Only you & your therapist decide what you need.
- Therapists and clients decide which treatment works best, where as insurance based practices must work within the covered services, regardless of the clinical need.
Flexibility
- Sessions duration and frequency are dictated my the client and therapist, not by insurance companies.
- Session can follow less traditional schedules, such as bi-weekly therapy
- Clients are not denied treatment if they need more than one service.
- Clients who not need to meet a diagnostic criteria to receive treatment.
Additional Insurance Information
Our goal it to decrease stress and anxiety, so we understand that the financial commitment to therapy is something to consider.
﹏﹏﹏﹏﹏
We provide OON billing for clients who decide to bill their insurance for services. A “Superbill” can be provided to you for potential reimbursement of services.
FAQ's about
Therapy at Mind by Design
Where are you located? I need a therapist near me
We are fully online, which means that your therapy sessions will be help via video call on our HIPAA compliant Platform. Anyone in New Jersey can access our therapy services
How do I get started as a new client?
New Clients can reach out to us directly via call, text or email here:
Does my insurance cover my visits?
We provide”Courtesy Billing” for clients who are using the Out-of-network insurance benefits.
Our Insurance Page might answer your questions about your insurance information, cost and OON coverage.
What are out-of-network benefits?
Visits our FAQ About Insurance to learn more about OON coverage for mental health services. We can also check your benefits for you. When using OON benefits, patients typically pay the full cost of the treatment upfront and then file a claim with their insurance company for reimbursement.
Is Online Therapy As Effective As In-Person Therapy?
Online therapy is essentially face-to-face counseling, just conducted remotely. Studies show that tele-therapy is as effective as traditional counseling. Professional organizations and state governments recognize its benefits and have set regulations for it. However, like any therapy, its success in achieving your goals isn’t guaranteed. It’s important to discuss with your therapist whether tele-therapy is working for you.
How Should I Prepare for My First Session?
Showing up is all that you need to do! But if you really want to get the most out of session, it could help to take some time to think about what you want from therapy. It helps to write down your goals, questions you have or things that you feel are important to share.
Do you offer traditional talk therapy?
of course! though we have some unconventional therapy approaches, we are rooted in evidenced based practices. Talk therapy is a major player in the therapy room! See What we Treat and Integrative Services for more information
Is Virtual Counseling Suitable for Everyone?
Online therapy might not be as effective for individuals with chronic suicidal thoughts, severe trauma, significant mental health history, or those recently in intensive care. Such cases often benefit more from traditional, in-person counseling. We’ll help you decide if our online services are right for you during your intake and evaluation.
Can I Change Therapists If I'm Not Happy?
Yes, you can switch therapists to another provider within the practice, or we can provide you a referral if preferred. We want to ensure that your time and effort are well spent, and that you are getting the relief you need, that’s why we work collaboratively with each other in the practice, as well as outside therapists who we know and trust.
How Do I Know If Therapy Is Helping?
You should feel like you’re making progress. Signs it’s working include:
- Feeling comfortable talking to your therapist
- Your therapist respects boundaries
- You’re moving towards your goals
- You feel listened to
You’re doing better in life - Your self-esteem is getting better
What is your cancellation policy?
We ask that clients provide at least 24 hours notice in the event that they need to cancel to avoid the 50% cancellation fee. we understand that life happens and do our best to be flexible & reschedule.
What Geographic Areas Are Served?
Currently, we serve clients in New Jersey and are expanding to other states as telehealth laws evolve. While telehealth offers the convenience of attending sessions from anywhere, state laws require clients to be in-state during their session.
Is Online Therapy Easy to Use for Non-Tech-Savvy People?
Yes, it’s pretty simple to access sessions. You’ll need basic internet skills, such as opening and visiting the patient link sent to you via email. It’s similar to video chatting like Facetime or Zoom. We can also walk you through it on the phone the first time to ensure a strong connection
What Questions Should I Ask My New Therapist?
Feel free to ask anything. Some good questions are:
- How often will we meet?
- What do you specialize in?
- What experience do you have with my issue?
- What outcomes can I expect?
- How will I know I’m progressing?
- How long do you usually work with clients?
- How will we set my treatment goals?
What is the difference between associate therapists & fully licensed therapists?
Our Qualifications:
Our founder, Rebecca Sidoti, is a highly qualified, state-licensed therapist and supervisor with extensive training in anxiety related disorders and innovative treatment such as Ketamine Therapy. Mind by Design Counseling adheres to standards set by the our governing counseling boards.
To see each providers credentials, training and licenses, visit our “Meet the Therapists” Page to learn more.
- LAC/LSW are therapists who may practice clinical work under the supervision of a fully licensed therapist.
- LPC/LCSW are therapists who have completed the necessary clinical hours post-graduation under supervision and can practice clinical work independently.