Insurance & Fees

Current fees (subject to change):

Initial Consultation (45-60 minutes): $225

Individual Psychotherapy Sessions (45 minutes): $160

Aside from Medicare, Dr. Pedroche does not participate as a provider with any insurance company.  However, some patients are able to receive reimbursement for all or a portion of their fees through the out-of-network provider portion of their insurance plan.  An invoice can be provided to you or Dr. Pedroche's staff will, as a courtesy, submit the invoice to your insurance per your request.  

Dr. Pedroche would like to share with you some reasons why she does not accept insurance.  Dr. Pedroche believes that the duration of treatment (number of sessions), what is addressed in treatment, and the type of treatment provided should not be dictated by your insurance company/people who have never met you and may not even be medical professionals.  These decisions should be made jointly by you and Dr. Pedroche.  Unfortunately, insurance can become a hindrance to obtaining effective, specialized mental health treatment. 

Reasons you should consider not using insurance:

1. Control of treatment.  You may choose the professional who you believe is the most competent to treat you.  If you use your insurance, you are often restricted to seeing providers on the insurance company’s list.  Additionally, insurance will often dictate your number of sessions and even what specifically can be treated.  By not utilizing your insurance, you and your therapist can make these decisions together, based upon your needs.
2. Avoid interruptions to treatment.  When visits are preauthorized by insurance companies, often only a few sessions are granted at a time.  When these sessions have been used, your therapist must justify the need for continued treatment and this process can lead to an interruption in your treatment.  There are times when additional sessions are not authorized, leading to unexpected out-of-pocket expenses for you or an end to the treatment, even if goals have not been met.
3. Increased confidentiality.  Your insurance company may request details about your treatment, and can even request the entire medical record.  Your treatment becomes part of your permanent medical record.  In summary, you lose control of your information, who accesses it, and how it will be used.
4. Not carrying a mental health diagnosis on your medical record.  Insurance companies typically require a mental health diagnosis in order to receive reimbursement.  Psychiatric diagnosis can negatively impact you (i.e., denial of insurance when applying for disability or life insurance, higher deductibles and copays, etc.).  Furthermore, you may wish to address non-psychiatric issues such as improving communication skills or coping with the stress of a new job.  These non-diagnosable issues are not usually reimbursable.

For more information about insurance and fees, call 561-805-3600 or Email: beverly@drpedroche.com. To schedule an appointment, click here.