We believe that therapy is an investment. However, costs should never get in the way of therapy. Please reach out so we can work together to determine what would be reasonable for you.
Dr. Logan Jones, Psy.D.
$0 for a Initial Phone Consultation
$250-275 per Therapeutic Hour
Lucas Saiter, M.A., MHC-LP
$0 for a Initial Phone Consultation
$120-175 per Therapeutic Hour
Weekend Appointments are Currently Available
$150-175 with Lucas Saiter, M.A., MHC-LP
Although we are not "in-network" providers, we offer out-of-network services. Being out-of-network providers also provides us with more privacy and confidentiality, while in-network providers are required to share more information with insurance companies, such as session notes. To submit your insurance information, click here. Please see our step-by-step process of submitting insurance claims below.
We offer courtesy billing where we submit claims for you, or provide an invoice, also known as a “Superbill” at the end of each month that you can submit to your health insurance company for reimbursement. By offering courtesy billing clients do not have to worry about the burden of filing claims and dealing with insurance companies.
If you have any concerns with billing or charges to your credit card, please speak to your therapist before disputing the charge. If you choose to dispute a charge, you may be compromising the privacy and confidentiality of your Protected Health Information. We can easily reimburse any incorrect credit card charge, so please consider this option first. To pay with a credit card, click here.
Step-by-Step Insurance Billing Process
We know that dealing with insurance companies can be a bit complex and not very fun, so below is a step-by-step breakdown of the overall process. If you would like more details, feel free to ask your therapist.
STEP 1: CALL YOUR INSURANCE COMPANY & ASK THE FOLLOWING QUESTIONS +
To determine if you have mental health coverage, please call your insurance provider (their number is usually on the back of your insurance card). Make sure you have the following information readily available: Your Name, Date of Birth, Address, and Phone Number. It’s best to have a piece of paper and pen, or a electronic device, to write things down.
Tell them the following information:
I am calling to see what my out-of-network benefits are for behavioral and mental services.
Once they confirm that they understand what information you are trying to get, ask the following questions, write down the answers, and submit the information through this form:
- Does my plan include “out-of-network” coverage for mental health? (Do they say YES or NO?)
- Is there an annual deductible for out-of-network mental health benefits? If so, how much? (Write down is the annual amount?)
- How much of my deductible have I met? (Writ down down the deductible and remaining amount)
- Is there a limit on the number of sessions my plan will cover per year?
- Is there a limit on out-of-pocket expenses per year? How much? (Write down how much remains)
- What is the coinsurance percentage for mental health services that my plan will cover? (Write down the percentage they will the cover once you reach the deductible?)
- Does my plan require pre-authorization for psychotherapy?
- Do I need approval for a 45-minute session with CPT code 90834?
- Do I need approval for a 60-minute session with CPT code 90837?
- What is the policy year start date and when does my deductible plan reset (i.e. Jan 1 – Dec 31; July 1- June 30)?
- What is the Usual, Customary, Reasonable Fee (UCR) or the Allowed Amount for New York City in Area Code 10010? I know that it is usually between $250 – $300 a session. (They will probably initially not tell you this information and state that it is “proprietary.” This is not true – you are entitled to know what your plan sets as the “allowed amount”. Tell them: “I need to know this rate so that I know what to expect to be reimbursed after I have satisfied my deductible.”
- What is the five-digit Payer ID for my specific insurance plan for electronic claims submissions? (i.e. 77624) If there is no way to submit electronically, what is the claims billing address?
If you need any help understanding these questions, please feel free to reach out
STEP 2: SUBMIT INSURANCE INFORMATION FOR CROSS VERIFICATION +
STEP 3: I SUBMIT THE INSURANCE CLAIMS ON YOUR BEHALF or YOU MAIL IN SUPERBILL +
Claims can sometimes be rejected, require additional information for processing, delaying reimbursement. Make sure to verify that the information you provide in Step 2 is correct and up-to-date.
TO SUBMIT INSURANCE CLAIMS YOURSELF
You will need the following information:
- PROVIDER: Dr. Logan Jones
- NPI #: 1609236645
- Tax ID/Employee ID #: 812825187
- License type and number: Psy. D. 021566
- Practice Address: 34 W. 22nd Street, Suite 2B, New York, NY 10010
- CPT Codes:
- 45-minute session: CPT code 90834
- 60-minute session: CPT code 90837
- A Diagnosis Code (i.e. F41.1 for Generalized Anxiety Disorder; F43.23 for Adjustment Disorder with anxiety and depressed mood; F34.1 Dysthymic Disorder)
STEP 4: PAY AGREED UPON SESSION FEE FOR EACH VISIT +
You choose which payment method works best for you. You have the option of making payments by cash, check, Health Savings (HSA), credit card, PayPal, Venmo, or Zelle at the end of each meeting.
STEP 5: CONTINUE RECEIVING REIMBURSEMENT CHECKS +
This will continue happening until your plan rolls over and deductible resets (usually in January or July, or when you have a new policy, depending on your plan).
To Submit Insurance Claims Yourself
You will need the following information:
Dr. Logan Jones
NPI #: 1609236645
Tax ID/Employee ID #: 812825187
License type and number: Psy. D. 021566
Practice address: 34 W. 22nd Street, Suite 2B, New York, NY 10010
45-minute session: CPT code 90834
60-minute session: CPT code 90837
A Diagnosis Code (i.e. F41.1 for Generalized Anxiety Disorder)
Payment Methods and Cancellation
You have the option of making payments by Cash, Check, Discover, Mastercard, Visa, American Express, Venmo, Health Savings Account, ACH Bank transfer, PayPal, and Chase QuickPay. To pay with a credit card, click here.
Instead of canceling for the week all together, please sign into the Client Portal and find a different appointment time that works for you. If a time isn’t listed online, email us with your availability and we will find another time to meet. If you reschedule for the week, there will not be a cancellation fee.
If you do need to cancel, we ask that you please do so with 24 hours notice, or at least before the end of the day prior to our scheduled time. Otherwise, you may be charged for the full rate of the session, excluding serious medical reasons and other circumstances outside of your control.
Glossary of Insurance Terms
Allowed Amount: Or “negotiated rate,” is the maximum amount that your insurance company will pay for a covered service based on your plan. If the allowed amount your plan pays for mental health services is $100, for example, and your therapist charges $125 per session, you would be responsible for paying $25. This is also know as "Balance Billing.”
Balance Billing: The difference in the allowed amount the insurance company pays and what the provider charges. See example under “Allowed Amount.”
CMS 1500 Form: This is the form used to submit services rendered to insurance companies.
Co-Payment: This is a fixed amount that you are responsible for paying when receiving health care services that are covered by insurance. You may also see the term co-insurance, this is essentially the same as a co-payment, but is often reflected as a percentage. For example, a 20% co-insurance means that you would pay 20% of the allowed amount and the insurance company would pay the rest, if you’ve reached your deductible.
Deductible: This is the amount you have to pay for health care services before your insurance begins any reimbursement. So for example, let’s say your insurance covers 50% for each psychotherapy session, but only after you reach a $1,000 deductible. If each session is $200, you would have to pay for 5 sessions before you reach your deductible ($200 per session x 5 sessions = $1,000). In this case, after reaching your deductible your insurance would reimburse $100 (50% of $200) and you would be responsible for a $100 balance.
Exclusive Provider Organization (EPO): A plan where services are only covered by doctors, specialists, or hospitals that in the plan’s network, except in the event of an emergency.
Family Deductible: If you are under a family plan, the family must collectively reach a certain amount before getting reimbursed by the insurance company.
Health Maintenance Organization (HMO): A plan that typically limits the services covered by health care professionals who work for or are in contract with the HMO, usually not covering out-of-network services (except in an emergency). Although this type of plan is more restricted, premiums are often much lower and have either low or no deductible.
Individual Deductible: If you have an individual insurance plan, this is the amount you must reach before your insurance company begins reimbursing you.
In-Network Providers: These are health care providers that have a contract with your insurance company.
Out-of-Network Providers: Health care providers who are not contracted with your insurance company.
Out-of-pocket Maximum: This is the most you will spend on covered services during the policy year, after which your insurance will pay for 100% of the services covered under the plan.
Point of Service (POS): A plan where you pay less to see a health care providers in the plan’s network. This plan requires that you obtain a referral from your primary care physician (PCP) to see a specialist.
Preferred Provider Organization (PPO): Like a POS plan, a PPO plan allows you to pay less to see a health care provider in the plan’s network. You may also see an out-of-network provider under this plan without needing a referral, but for an additional cost.
Premium: The amount you pay the insurance company each month depending on your plan.
Superbill: This is an itemized form that reflects the services providers, similar to a receipt.
UCR (Usual, Customary, and Reasonable): This is the amount paid for services based on your geographic location. For example, in New York City, the UCR rate for out-of-pocket psychotherapy is typically between $200 and $300.