Consultation & Psychotherapy
|Initial Consultation (90 minutes)||$240|
|Individual Psychotherapy (60 minutes)||$160|
|Individual Psychotherapy (75 minutes)||$200|
|Individual Psychotherapy (45 minutes)||$120|
|Family Therapy (45/60/75/90 minutes)||$120/$160/$200/$240|
|Initial Consultation (180 minutes)||$480|
|Follow-up with Jungian typology (150 minutes)||$400|
|Regular follow-up sessions (75/90 minutes)||$200/$240|
Forensic Social Work
|Mediation||$200 per 60-minute hour|
|Collaborative Divorce Coaching Session||$200 per 60-minute hour|
(retainer of $2000 representing 10 hours work is required)
|Forensic Substance Use Evaluation||$200 per 60-minute unit hour|
(retainer of $1000 representing 5 hours work is required)
|Forensic Sexual Behavior Evaluation||$200 per 60-minute unit hour|
(retainer of $1000 representing 5 hours work is required)
|Individual Therapy (Forensic Cases)||$200 per 60-minute hour|
(retainer of $600 representing 3 hours work is required)
|Professional Consultation (Attorneys, Custody Evaluator)||$200 per 60-minute unit hour|
|Review of Documentation||$200 per 60-minute unit hour|
|Narratives (Drafts, review, compilation)||$40 per page (maximum $1000)|
|Travel & Costs||Travel to other facilities is charged from the point of departure to the time of arrival according to the same rate as the service being rendered. Other costs, e.g. parking, will be billed to the client.|
Payment of Fees
Payment is due at the time of the session. Acceptable methods of payment are Visa, Mastercard, American Express, Discover, personal or business check, or cash. A detailed insurance-ready receipt will be given to you.
Because Dr. Barrilleaux will reserve a time-slot exclusively for you, kindly give at least 48-hour notice if a session needs to be cancelled, or you will be charged for the missed visit, and payment will have to be satisfied prior to rescheduling.
Risks & Benefits
There are risks and benefits for using health insurance. It is important for clients to be informed in advance of the differences between private pay therapy and direct insurance assignment.
The limits of what is covered by health insurance, the shorter time intervals (28-33 minutes), the band-aid mentality of “brief treatment”, and the requirement that the practitioner diagnose a mental disorder are all risks for using health insurance. Diagnoses are catalogued in the National Clearing House of Diagnoses and may be available to attorneys researching your medical background.
The benefit is that the cost-share for the client is much less.
Marriage counseling is not covered by health insurance because insurance plans require treatment to be medically necessary. Claim forms also require a diagnosis of a mental health issue, or they will be declined for payment. Marriage counseling and psychotherapy are not the same thing even though they are both rendered by mental health professionals. Because Dr. Barrilleaux cannot use a diagnosis with marriage counseling, he will not under any circumstances bill an insurance plan for marriage counseling. There are no exceptions. Understand that in the alternative, sometimes conjoint couple therapy is indicated as a treatment modality for individual clients receiving psychotherapy for targeted mental health issues; but this is not marital counseling. The two are different. (See Relationship Counseling for greater clarification.)
Verification of Benefits
Prospective clients who wish to use their health insurance benefits must first write an email to Dr. Barrilleaux at email@example.com. Send him the following information:
- A photocopied or scanned copy of both sides of your health insurance card;
- A photocopied or scanned copy of your legal state ID or driver’s license;
- Your date of birth.
- The name and date of birth of the insured’s member, if different from you.
After receiving this documentation, Dr. Barrilleaux will verify your benefits, and then contact you to inform you as to your cost share. Only after the question of health insurance has been satisfied will Dr. Barrilleaux schedule an initial appointment. All preliminary information exchanged, including scheduling the initial appointment, will be done through email.
Dr. Barrilleaux is an in-network provider with all Blue Cross Networks including the PPO plan, the HMO plan, Office of Group Benefits PPO and HMO plan, Anthem Blue Cross, Ochsner Blue Cross, and FLOL Blue Cross.
If your health insurance plan has out-of-network mental health or substance abuse benefits on an outpatient basis, you may qualify to get reimbursed by your plan under that benefit.
Insurance plans we can accept on an out-of-network basis, provided the plan is a PPO or POS plan which has out-of-network benefits, include the following: Aetna, Cigna, Humana, Gilsbar and UMR.
If your plan is an HMO plan, the only way Dr. Barrilleaux may be able to accept your insurance is if it has Point-of-Service benefits written into the contract, where the policyholder has more choices about electing non-participating providers.
Dr. Barrilleaux is unable to accept Medicare, Medicaid, Tri-Care. Consequently, because Dr. Barrilleaux is neither a Medicare, Medicaid, or Tri-Care provider, and does not have any of their corresponding Medicare/Medicaid/Tri-Care provider numbers assigned to him by them, we are not able file claims for you with these plans for reimbursement as they will not be honored. In the alternative, should one of these plans have out-of-network coverage, you should follow the directions in your insurance contract to determine if and how you may file a claim to be reimbursed for fees paid for psychotherapy.
Dr. Barrilleaux is also unable to accept Optum or United HealthCare on an out-of-network basis, because United pays out-of-network benefits directly to the enrollee. However, if you have a United plan, you may file for reimbursement with your plan directly, if it offers out-of-network benefits.
Medicare primary / Blue Cross secondary
Dr. Barrilleaux does not have a contract with Medicare and is unable to accept Medicare benefits. However, Dr. Barrilleaux is on the approved Novitas Medicare “Opt-Out” list, which enables you to forego use of your Medicare benefits and file directly through your secondary health insurance carrier. This is a multi-step process that will require us to file your claim with your insurance carrier and have it denied first for failure to provide a Medicare explanation of benefits, and then follow with an appeal and provide Novitas opt-out certification. Dr. Barrilleaux will need to verify benefits with your secondary carrier prior to initiating therapy. Dr. Barrilleaux has had good success with Blue Cross as the secondary insurance carrier. Per Medicare rules, a contract will be drawn up signed by both patient and provider attesting that Medicare will not be billed by either Provider or Patient. Because this process is not seamless and sometimes proves difficult, Dr. Barrilleaux may not be able to Opt-Out from Medicare with some other non-Blue Cross secondary plans. In any event, Dr. Barrilleaux reserves the right to discontinue any Opt-Out agreements made after 60 days, at which time a different arrangement will have to be made or consider case transfer.
Health Savings Accounts (HSA)
If you have a Health Savings Account linked to a Visa or Mastercard, Clinical Consultants LLC has a health provider merchant number which makes us eligible to bill your HSA for services rendered. This is yet another way to help minimize your out-of-pocket costs.