Coverage
Psychological services are not covered by OHIP. However, they are covered by most insurance companies. We recommend that you seek out the following information from your insurance provider:
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- Does the insurance provider require a referral from your family doctor before they will start covering the cost of therapy?
- We do not require a referral, but some companies will not begin payment without it.
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- What is your coverage each year?
- This can vary considerably from one plan to the next, ranging from approximately $300/year to $2000/year.
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- Is your coverage limit per-person or per-family?
- In the case of per-family coverage, if only one member is in therapy, you may be able to use the entire family allotment.
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- When is their ‘year end?’
- This is often at the end of December, but some companies restart benefits in April/May or from the date you started coverage.
Frequently Asked Questions About Costs
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- How much does therapy cost?
- The cost of a one hour therapy session is $200 for Dr. Andrea Miller and $170-$200 for the practice's clinical associates. Student clinicians are sometimes available at a cost of $80.00 per session.
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- Is there a difference in cost for family and individual therapy?
- No. The cost for therapy sessions is the same, regardless of the number of participants.
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- Can you bill my insurance company directly?
- We are currently able to direct bill for clients with coverage through Greenshield. In most other cases, clients pay us directly and are reimbursed by their extended health care providers.
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- How much does an assessment (psychoeducational, cognitive testing, adaptive functioning, etc.) cost?
- The cost of an assessment depends on a number of factors. A full psychoeducational assessment costs $2,500. This typically involves a minimum of 8 hours of testing. A feedback session and a formal written report will be provided at the conclusion. Depending on your specific requirements, less comprehensive assessments may be appropriate at a significantly lower cost. Please contact our office to discuss your needs.