Professional Fees
- Hemisha Patel Urgola, PsyD: Adults and Couples
- Individual Therapy Sessions (50 Minutes) = $200
- Gottman Couples Therapy:
- Intake Assessment (1st four appointments):
- 1st Session (90 Minutes) = $275
- 2nd, 3rd, and 4th Sessions (50 Minutes) = $250
- Gottman Relationship Checkup Questionnaires (Required) = $39/couple
- Couples Therapy Sessions (50 Minutes) = $250
- Intake Assessment (1st four appointments):
- I accept cash, check and all major credit cards as forms of payment. Payment is due before services are rendered. There is an additional $35 fee for checks that are returned for any reason.
- Payments can be taken care of in the office, or you can pay directly from this website, using the “Pay” tab located at the top of the page.
Insurance
Please note that I am out-of-network providers. In other words, I currently do not accept insurance plans, which means clients cover the initial costs of their therapy sessions.
Depending on your current health insurance provider or employee benefit plan, however, it is possible for services to be covered in full or in part. Please contact your provider to verify how your plan compensates you for psychotherapy services.
I recommend asking these questions to your insurance provider to help determine your benefits:
- Does my health insurance plan include mental health benefits?
- Do I have a deductible? If so, what is it and have I met it yet?
- Does my plan limit how many sessions per calendar year I can have? If so, what is the limit?
- Do I need written approval from my primary care physician in order for services to be covered?
To assist with seeking reimbursement from your insurance provider, I will provide you with an itemized receipt (“superbill”), which outlines how much you paid for the session and your clinical diagnosis. The latter information is needed by the insurance companies for reimbursement purposes. In addition, I will be more than happy to provide you with any additional information that your insurance provider may ask of you with regard to your therapy sessions (after you give me written authorization).
Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.
You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, please feel free to contact me or visit www.cms.gov/nosurprises.
Notice of Privacy Practices
Please click on the link below to access my Notice of Privacy Practices.
Any Other Questions
Please contact me for any additional questions you may have. I look forward to hearing from you! ~ Hemisha Patel Urgola, PsyD