My fee is a flat rate of $135 per session during business hours and $165 for evenings and weekends. I do not offer a sliding scale or reduced fee at this time. I am able to file for a few insurance plans. If you can use your insurance then your fee is based on your specific plan (co-pay, deductible, etc). Please see below for more information about insurance. Please click here for additional information about rates.
Yes and No. I'm currently an in network provider for BCBS, Cigna and UnitedHealthcare - (Aetna coming soon). Applications are pending for a select few other insurance plans.
If I’m not an in network provider for your specific plan, you may be covered at your out of network (OON) rate. You are encouraged to contact your insurance provider to ask what your OON reimbursement rate it.
Unless there's an underlying medical diagnosis, I do not file for insurance reimbursement for couples therapy.
I accept out of pocket payments (private pay) and take cash, check and credit/debit cards. Please click here for more detailed information regarding rates.
Insurance companies require a lengthy application process. Chances are good that our application is just stuck in the red tape of the insurance company's vetting process. Sometimes they will expedite the process or approve a single case insurance claims if you call and ask them to.
Unfortunately, most insurances don’t cover relationship therapy. This is outside of my control. Rather than try to submit a claim and have it rejected and then present you with a large bill to cover the costs, I’d rather be upfront about this to avoid unpleasant surprises. All fees for couples therapy are private pay only: cash, check or credit card.
Please click here for more detailed information regarding rates.
It’s my understanding that relationship distress is not considered a medical condition and therefore is not covered by a medical insurance plan.
Nothing has changed really. Some therapists have decided to use a diagnosis code that is covered by insurance in order to get insurance to pay the claim. I see this as unethical, however, and am not willing to accept the risks associated with doing that (it could be considered insurance fraud which carries with it hefty fines and consequences).
The diagnosis code for problems in a relationship is Z63.0. You’re welcome to contact your insurance company to ask if they will reimburse for that diagnosis code. If so, you can submit a written confirmation of that to our office and we will submit a claim.
I can also give you an itemized receipt called a “superbill” which can be used to verify your treatment. You will then be able to submit the superbill to your insurance company to ask for reimbursement which will likely be paid at your plan’s Out of Network (OON) rate. In this case the reimbursement will be paid to you. You will still need to come to your sessions prepared to pay the full fee.
Yes, we can file for OON reimbursement for you or you can submit the claim to your insruance company. Either is fine. Please keep in mind, though, that when it comes to OON there is no contractual agreement between our office and the insurance company so the insurance company can easily deny claims based on arbitrary assessment of the situation. In other words, since there is no guarantee that OON claim will cover the cost, we will need to proceed as if they won't cover any of the cost and adjust your account if they do.
This means that you will need to come to the sessions prepared to pay the full cost. Any reimbursement we receive to the office will be applied to your account and your fee will be offset by that reimbursement amount.
We will initially spend time discussing together what it is that brought you to counseling. Our first few sessions will consist mostly of information gathering where I get to know your unique situation and needs. I spend a great deal of time during the first few sessions listening to your story, asking questions, answering your questions, helping you refine and prioritize your goals, assessing your mental health and developing a treatment plan that’s specific to your situation.
Then, as the sessions progress, we will dig deeper into the problems and any emotional turmoil and work together at solutions using problem solving techniques. Occasionally you will be given assignments or things to do during the week to either practice what we discussed in a particular session or prepare for the next session. When you feel that you are at a place where I’ve pointed you in the right direction and you can continue on your own you will be discharged from my counseling services.
With a few exceptions, I maintain an open-door policy. You are welcome to come back to counseling for a “checkup” to make sure you’re still on the right path or to begin therapy again with a new problem should the need arise.
Yes. I’m a board certified telemental health provider and I can provide counseling online via phone, video and messaging (secure texting). I can currently provide online counseling to residents of Tennessee and Georgia.
The virtual office is located at: https://doxy.me/drsantan. When it's time for your appointment, click on the link and you will be given instructions for entering the virtual waiting room. This is a permanent link so please bookmark it for future sessions.
By “holistic” I simply mean that I treat the whole person and consider all domains of life (emotional, mental, physical, spiritual, social/relational/familial) as interconnected and comprehensive. I believe that health is achieved when all parts are synchronized and working together in concert and I work towards that goal. It also means that I search for root causes rather than just focus on symptom management.
I’m perfectly fine with the use of medications and I try to coordinate care with prescribing physicians as much as possible. I don’t interfere with medication management. I leave that between you and your physician.