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FEES: Text

FEES & INSURANCE

Fees & Insurance

FEE SCHEDULE

To review Dr. Martins' current fee schedule, please complete the CONTACT Form to receive an automatic reply detailing the current Fees and for other important information about the practice including cancellation policy and payments.

 

Dr. Martins has a separate fee for a 60-minute initial assessment, a 45-minute follow-up, and a 30-minute follow-up.

Fees also differ between medication management only sessions and sessions combining medication with psychotherapy.  A routine medication management follow-up session lasts 30 minutes while a combined therapy session typically lasts 45 minutes. 

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INSURANCE

Dr. Martins does not accept or participate with private/commercial insurance plans, Medicare* or Medicaid. Upon receipt of your direct payment, Dr. Martins will send you a Superbill that you can submit to your insurance carrier for reimbursement. 

*Medicare Note: Dr. Martins has opted out of Medicare - this means that if you are a Medicare recipient, Dr. Martins' bills cannot be submitted for reimbursement and the full session cost is out of pocket. Secondary insurance carriers may cover some treatment costs if you have out-of-network benefits (and it is worth a phone call to clarify this with your insurance carrier).

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Do you plan on submitting your Superbills for reimbursement?  

If you have out-of-network behavioral health benefits, reimbursement kicks in once your yearly deductible is met. Note that the reimbursement rate is usually only a percentage of what the insurance carrier deems to be "reasonable and customary" for specific procedure codes (e.g. 90792. 99213, 99214, 90833, 90836). It is worth learning about your benefits to anticipate your out-of-pocket costs for your treatment. 

TIP to maximize reimbursement and avoid headaches on your end: engage a company to help you receive the reimbursement your plan entitles you to. This can save you time and effort and achieve better results. There are several services you can find with an online search e.g. Sheer Health which Dr. Martins' patients have used successfully (especially for those with United Healthcare / Optum).​

©2021-2025 by Alexandra R. Martins, M.D. PLLC

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