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Paulina Kaiser, MD - Psychiatry and Psychotherapy

Insurance & Payment

Understanding your financial options for psychiatric care. Dr. Kaiser is committed to transparent, straightforward pricing.

A Private Pay Practice

To provide the most personalized and effective care, Dr. Kaiser operates a private pay practice. This model allows for longer appointments, greater flexibility in treatment planning, and continuity of care without the restrictions that insurance companies often impose on psychiatric treatment.

Private pay means that you pay directly for services at the time of your appointment. Dr. Kaiser is currently out of network with all commercial insurance plans. However, many patients are able to receive meaningful reimbursement from their insurance companies through out-of-network benefits.

Out-of-Network Benefits

Many commercial insurance plans, especially PPO plans, offer out-of-network mental health benefits. This means your insurance may reimburse a portion of your session cost after you meet your deductible. We recommend calling the number on the back of your insurance card and asking about your out-of-network mental health benefits before your first appointment.

Superbill Process

After each session, Dr. Kaiser provides a superbill, a detailed invoice that includes diagnostic codes, procedure codes, and all information your insurance company needs to process a claim. You submit this to your insurance company, and they reimburse you directly based on your plan’s out-of-network benefits.

Self-Pay Rates

For current session rates, please contact the office directly. Dr. Kaiser believes in transparency and will discuss fees during your initial inquiry so there are no surprises. Payment is due at the time of service.

Call (404) 919-0530

How to Check Your Out-of-Network Benefits

Call the member services number on the back of your insurance card and ask the following questions:

  1. 1Do I have out-of-network mental health benefits?
  2. 2What is my out-of-network deductible, and how much has been met?
  3. 3What percentage of out-of-network charges does my plan reimburse?
  4. 4Is there a maximum number of sessions covered per year?
  5. 5Do I need a referral or prior authorization for out-of-network psychiatric care?
  6. 6What is the allowed amount for CPT codes 90792 (initial evaluation) and 90833/90834 (psychotherapy)?

Good Faith Estimate

Under the No Surprises Act (effective January 1, 2022), healthcare providers and health care facilities are required to provide patients who do not have insurance or who are not using insurance with a Good Faith Estimate of expected charges for medical services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy and psychiatric services.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit cms.gov/nosurprises.

Insurance Questions

Questions About Fees?

We are happy to discuss fees and help you understand your insurance options before your first appointment.

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