Health Savings Accounts (HSA): Health savings accounts can be used to pay for medical expenses such as therapy and can often significantly decrease the cost of treatment. Blake accepts all forms of HSA.
Tax Deductions: Medical expenses, including out-of-pocket costs for psychotherapy, can often be deducted on your income taxes. You should speak with an accounting professional to determine whether you would be eligible for such a deduction.
Sliding Scale Rates: In major metropolitan areas, everything is more expensive, including psychotherapy. However, in an effort to make access to care more just, Blake takes on a limited number of clients on a sliding scale basis, sometimes pro bono. If you believe that you would benefit from treatment, but are thinking about not enrolling due to the cost, please inquire about a sliding-scale rate. A number of factors are relevant to determining what kind of rate is appropriate in a particular case. These include the client's socioeconomic situation, their insurance status, and whether they are a good fit for this type of therapy. Blake is committed to working with clients to make sure they get access to the services they need at a price that is affordable, whether through his own practice or through another qualified provider.*
*Keep in mind that a sliding scale rate needs to be worked out with Blake prior to scheduling and that neither evening nor weekend appointments will qualify for a sliding scale rate. That is, sliding scale clients must be willing to meet on weekdays before 5pm.
Cancellation Policy: The time that you schedule is held exclusively for you. As such, it has an impact on other clients - making it more difficult, and sometimes impossible, for them to reschedule or to book additional appointments. To cut down on these scheduling issues, Blake has instituted a 24 hour cancellation rule. Please do remember to cancel or reschedule 24 hours in advance. You will be responsible for the entire fee if notice of cancellation or request to reschedule is given by you less than 24 hours from the scheduled start time of your appointment.
Being-on-time: If you are late for a session, your session will still end at the time it was originally scheduled to end (meaning that you will lose some of your session time by arriving late).
Using Insurance: Most insurance companies cover a significant portion of Blake's fees. If you decide to seek reimbursement from your insurance company, Blake will provide you with a detailed invoice (sometimes called a "superbill") that will make this process simple and straightforward. It usually only takes a couple of minutes to submit a claim and your insurance company's claims specialist can walk you through exactly what steps to take if you have any questions.
Like many therapists, Blake chooses not to be under contract with insurers. This is due in part to the costs, as well as to the diminished ability to provide confidentiality, that are associated with this arrangement. Being "in-network" (under contract) would mean agreeing to much lower reimbursement rates for his services and would mean hours of extra (unpaid) paperwork each week. Being "in-network" also greatly diminishes his ability to provide confidentiality, because these contracts stipulate that he must hand over a client's confidential treatment information (his therapy notes) to the insurer. For these and other reasons, it simply does not make sense for any therapist, who would not otherwise have a difficult time getting clients, to go under contract with insurers.
Keep in mind that it is your responsibility to learn about your particular insurance plan and about what portion of services they will cover. The number for your insurance company should be listed on your insurance card. Blake's services are usually covered as part of the "out-of-network" portion of healthcare plans. You can use the information listed below to determine the extent to which they will be willing to cover these services.
Washington State Department of Health License Number: MC60681402
National Provider Identification Number: 1629512066
Type of Department of Health License: LMHCA
Psychiatric Diagnostic Evaluation CPT Billing Code: 90791
One Hour (60 min) Psychotherapy CPT Billing Code: 90837
A Note about Regence: This insurer has certain plans where, although they state they have out-of-network mental health benefits, the fine print on the plan carries several restrictions. As with most insurance plans, it's good to know the fine print when it comes to your benefits, but especially with Regence as these plans seem to carry more restrictions. Other insurers in the area such as Premera have, to my knowledge, never denied my clients' claims for any reason.