Understanding Costs at MCG

Insurance and Fees

Current Patients

Current patients may make payments through our secure electronic health record. Please click here to access your CLIENT PORTAL.

New Patients: Learn About Your Benefits and Eligibility

Drs. Porter, Solodyna, Gerstel, and Madeline Conover, and Sam DiChiara accept and bill all Blue Cross/Blue Shield health insurances nationwide, as well as select PPO/POS plans. We highly recommend that you inquire about your "in-network" and "out-of-network" mental health benefits with your insurance company before starting treatment with us. The insurance landscape changes each year, so becoming aware of your insurance benefits and eligibility prior to starting treatment with us will ensure that you are aware of your financial obligation(s) for each session. This includes copays, co-insurance, and deductibles.

Please note that Dr. Creedon, Betsy Harris, Deirdre Jimenez, Adam Gilman, and Naama Malkesman do not accept any insurance plans at this time.

Can I Use My “Out-of-Network” Benefits?

If you have a PPO or POS insurance plan and want to see one of our providers that are not considered “in-network” with your insurance plan, you likely have some out-of-network (OON) benefits.  Please review your OON mental health benefits to get an estimate of what amount or percentage may be reimbursed for a PsyD/PhD/EdD-level clinical psychologist or LICSW/LMHC-level therapist providing weekly psychotherapy (CPT codes 90791/90791-GT, 90832/90832-GT, 90834/90834-GT, 90836/90836-GT, 90837/90837-GT, 90839/90839-GT, 90853/90853-GT, 90846/90846-GT, or 90847/90847-GT).  PPO or POS plans with OON often reimburse from 50% to 80% of the allowable charge.  Allowable charges generally range from $70-$150 for weekly psychotherapy.  HMOs do not reimburse for OON services.

It is critical to determine with your insurance company how much they will be willing to reimburse you for our OON charges.

If you would like to use your PPO or POS plan, MCG can provide you with an itemized statement including all requisite information an insurance company requires you in order to request reimbursement. That is, an itemized list of CPT codes, charges, diagnoses, as well as the provider's license number, NPI number, and tax ID.

To find out what your plan may cover, contact your insurance company (use the member services number on the back of your card) and ask if you have out-of-network mental health coverage. We have a COMPLIMENTARY OUT-OF-NETWORK WORKSHEET that you can use to make sure you get all the necessary information.

Fees

Dr. Creedon, Betsy Harris, Deirdre Jimenez, Adam Gilman, and Naama Malkesman are not contracted with insurance companies and accept cash, check, credit card (Visa/Mastercard/Discover/American Express), and health savings/flexible spending accounts (HSA/FSA). The billing office can provide you with an itemized statement that includes all the necessary information an insurance company requires in order for you to independently file for reimbursement (e.g., a “Super Bill”).  All fees are due at the time of each session. 

Fixed Fee Evaluations

MCG offers fixed fee evaluations for those who would like a "rapid report" (typically 4 weeks, start to finish, regardless of insurance) and those who have other insurances.  MCG offers three types of fixed fee evaluations: (1) $4,000 for a comprehensive neuropsychological or psychological evaluation; (2) $2,500 for an AD/HD, dyslexia, academic resource center, or personality evaluations; (3) $1,500 for intellectual testing only (often required by private and independent schools for admission) and second opinions on evaluations done by other, non-affiliated providers.

Payment of Services

Copays and all other fees are due at the time services are rendered, unless otherwise stated.  MCG accepts all forms of payment, including cash, check, credit card (VS/MC/DV/AMEX), and health savings/flexible spending accounts (HSA/FSA).  We also offer CARECREDIT. Additionally, you can log in to our CLIENT PORTAL and pay for services using multiple payment options. We provide a monthly statement of account indicating all fees charged and payments received. 

Good Faith Estimate at MCG: Understanding Your Costs

As of January 1, 2022 you have the right to receive a "Good Faith Estimate” to explain the cost of your medical care. Under Federal Law, all health care providers are required to provide an estimated bill of medical services to patients who do not have insurance or who are choosing to not use insurance for the 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 for a Good Faith Estimate before you schedule an item or service.

• Take a picture and/or save a copy of the Good Faith Estimate for your personal records.

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

• For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call 1 (800) 985-3059.