I. Therapy for the Following Problems

• Depression, Anxiety, Phobias
• Grief, Loss
• Depression
• Mood Swings
• Obsessive-Compulsive Behavior
• Relationship Problems
• Social Skills
• Divorce & Separation Issues
• Single Parenting
• Grief & Loss
• Stress Management
• Child & Adolescent Problems with School, Family, and Peers
• ADHD and Learning Disabilities
• Parenting Skills
• Personal & Professional Development

II. Services for Different Age Groups

Yes, she works with children (ages 5-12), adolescents and college students, young adults, and adults. She offers the following therapy services:

Adults	College Students/Adolescents	Children
Individual therapy	Individual therapy	Play therapy
Group therapy	ADHD/LD Evaluations	ADHD/LD Evaluations
Marital/Couples therapy	IQ Testing	IQ Testing
ADHD/LD Evaluations

III. Insurance Plans We Work With

• Major Medical Plans
• All PPO (Preferred Provider) Plans – These plans cover both in-network AND out-of-network doctors, and they pay a percentage of the doctor’s fees.  Note: EPO plans are not PPO plans.
• Tricare (preferred plan) – You pay the session fee and Tricare reimburses YOU 50% or more after you file your claim.

These PPO Plans pay the doctor directly and the patient pays the balance.

• Aetna PPO
• Cigna PPO

These PPO Plans pay the patient directly, so the patient has to pay the doctor in full.  We file electronically, so you will receive your BCBS reimbursement quickly (5-7 days after your session).

• BCBS Blue Options
• BCBS Blue Options HSA
• BCBS Blue Advantage
• BCBS Classic Blue
• United Behavioral Health (or United Health Care) PPO

Is the copay listed on my insurance card a therapy session copay?

No, the information on the front of your insurance care is limited and applies to non-specialty medical doctors like a family doctor. You will need to (1) call your insurance company for information on specialist reimbursement, or (2) look it up on the patient portal, or (3) check your benefit booklet.

How to log into your patient portal:

• Enter the insurance website info (on your insurance card) into the computer.
• Enter your name, date of birth, and your insurance ID # on your card.
• You will see a summary of “in-network” and “out-of-network deductibles.” It will include the doctor visits that have been applied to the deductible.  Once you have met your deductible, it will also list payments you have made and/or the insurance company has made on your behalf.

Deductibles: The $ you have to pay before insurance starts paying for your visits. There can be one deductible for both medical and mental health services, or separate deductibles for medical and mental health services. Find out which one you have. 

• Deductibles can be as low as $250 and as high as $10,000.  
• Deductibles in the $3,000 – $10,000 range are considered “catastrophic deductibles,” which means you are unlikely to meet that deductible in a year unless you have major medical expenses (hospitalization, major surgery, auto accident)
• How long does it take to meet a deductible in this office? Samples are below:
  • $500 deductible – approximately 3 sessions
  • $1000 deductible – approximately 6 sessions
  • $2000 deductible – approximately 12 sessions
  • $3000 deductible – approximately 24 sessions (almost half a year) 

You need to know if your plan covers therapy and/or psychological testing

• Most plans currently cover Telehealth (video-conferencing) over Zoom or Doxy.
• Is there a limit to the number of  therapy sessions you can have in one year?
• Does your plan cover testing for ADD, ADHD, LD?
• Will your plan cover a court ordered evaluation? 
• How many testing sessions are covered?  
• Do I need prior approval from the insurance company to receive the service?

IV. Payments

Personal checks, Visa, Mastercard, and Discover.  No cash accepted. We file your insurance electronically for you on the day of the session, so you get your reimbursement fairly quickly. Your first session must be paid in full.  

V. Session Length

Please arrive 15-20 minutes early for first appointment to process insurance and other paperwork. 

• Initial session is 60 minutes.
• All subsequent sessions are 50 minutes per session.
• Psychological Testing is 60 minutes per session.

VI. Phone Calls

The office manager schedules appointments and answer questions about insurance and therapy between 8:30 am and 3:15 pm. After 3:15 pm, Dr. Alexander’s answering service of 18 years answers the phone, and your message will be e-mailed to her immediately. Dr. Alexander will return your call at her first break. After-hours calls will be returned the next morning. Professional guidelines stipulate that Dr. Alexander can only accept after-hours emergency calls from established patients.

VII. How to Change, Cancel or Reschedule My Appointment

24 hours notice is required for appointments cancellations so that other patients with urgent needs can be seen. You can leave your message with the office manager or the answering service (24/7). A fee will be charged for broken appointments without the 24 hour notice. If we can fill a late cancellation with another patient, you will not be charged.

VIII. Office Hours

IX. Group Sessions