How fees work

Insurance we work with

Preston Trail is out of network with insurance plans, so you pay for each visit yourself. We do not bill Medicare or Medicaid. If you would rather have a prescriber who bills your plan, we will give you the names of colleagues who do.

If you pay yourself

You pay at the end of each visit by card, and HSA and FSA cards work. Your fee is set by the length of the visit, and you get it in writing before the first visit. A limited number of reduced-fee visits are held each month; ask when you write. We ask for 24 hours' notice to change or cancel a visit, and your written estimate says what a late cancellation costs.

Receipts for reimbursement

After a visit you can have an itemized receipt (a superbill) with the date, the kind of visit and a diagnosis code, to send to your plan. Your insurer can see the code. Your plan decides whether it reimburses any of the cost, so ask it before you start.

An estimate in advance

If you pay without insurance, you have the right to a written Good Faith Estimate of what care will cost, before you start. We send yours after you write and before the first visit. If a bill comes to $400 or more above the estimate, you can dispute it. The estimate is not a contract.

Checking your benefits

We do not check benefits, because we do not bill your plan. To find out whether it reimburses out-of-network care, call the number on your card before the first visit and ask about out-of-network mental health benefits for your child.

What the first visit includes

The first session is 75 minutes with the parent or guardian and the child, and a written plan afterward. Follow-up visits run 20 to 30 minutes. Pharmacy and lab charges come from the pharmacy and the lab, not from Preston Trail.