FEES & INSURANCE

FEE SCHEDULE

To review Dr. Martins' current fee schedule, please complete the CONTACT Form to receive an Email detailing the current fees and other important information about the practice including cancellation policy and payment information.

 

Note that 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 any insurance plans including private/commercial*, Medicare** or Medicaid. See more below.

 

Once your invoice is paid in full, you will receive a Superbill ("Statement for Insurance Reimbursement"). This is the appropriate document for you to submit for any out-of-network reimbursement claim with your insurance carrier.​  

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• Note that submitting, tracking, and managing reimbursement claims with your insurance company is solely your responsibility.

• If your insurance company requests any additional information to process your claims, this is also your responsibility to manage and respond to.

• As an out-of-network provider, Dr. Martins should not be expected to interface with your insurance carrier or help manage your claims.

• TIP: if you need help with your reimbursement claims or anything related to your insurance carrier benefits (e.g. to respond to medical records requests), you can engage a paid service to submit and follow-up with claims and issues on your behalf. There are several services you can find with an online search (e.g., one service that Dr. Martins' patients have worked with successfully is Sheer Health).

 

​* Special note regarding UNITED HEALTHCARE / Oxford / OPTUM: 

Even as an out-of-network provider, Dr. Martins does not accept new patients with United Healthcare/Oxford (and claims serviced by Optum).  UHC/Optum frequently places providers in "pre-payment audit" status and when this happens, Optum requires a review of a member's full medical record before deciding whether or not to reimburse the member for their out-of-network service. Dr. Martins feels this is an unnecessary exposure of patients' health information and creates an untenable administrative burden on Dr. Martins' practice. Click here to find a United Healthcare in-network provider.

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** Special note for MEDICARE recipients: 

Dr. Martins has opted out of Medicare - this means that if you are a Medicare recipient, Dr. Martins' bills cannot be submitted for reimbursement with Medicare. Note: to see an "opted out" provider, Medicare obligates you to sign a contract attesting to this, making you responsible for the full session cost.​