Frequently Asked Questions
Policies & Procedures
Please contact the office for current rates.
Dr. Spellun participates with a select few insurance plans. Otherwise, treatment with her is out-of-network. Superbills are provided that contain the necessary information to be submitted to your insurance company for out-of-network reimbursement if offered by your plan. Scroll down to learn more.
Prior to confirming a first appointment, Dr. Spellun may reach out for a free brief phone call to discuss your goals and address questions. All clients must register with the practice’s secure online portal. New clients are asked to complete intake forms before treatment starts.
Appointments
Your first appointment will be a 90 minute evaluation where we will discuss your medical and psychiatric history in detail. With your permission, information may be requested from mental health providers, medical providers, family, or significant others in your life. Laboratory studies and a brief neurological examination may be requested for thoroughness. We will collaborate to to develop a treatment plan that meets your goals, needs, and likely diagnosis. This may include medications, therapy, or both. If you are already working with a therapist, they will be included in treatment planning with the expectation that communication about your care is permitted.
The initial evaluation is not an agreement for ongoing care. It is an opportunity for us to decide whether a partnership is the right fit. Individuals are responsible for the consultation fee regardless of continuation of care.
Initial Evaluation
This is a 30-45 minute follow up appointment focused on monitoring and adjusting medications as well as discussing overall wellness strategies. To ensure the best quality of care, appointments are scheduled at a minimum of every 3 months.
Medication Management
Therapy sessions are 45 minutes and can be scheduled weekly, every other week, or monthly. Dr. Spellun’s training has included a number of treatment modalities appropriate for treating a wide variety of concerns. Most often therapy with her utilizes multiple approaches with transparency about specific decisions regarding what we're doing and why.
Psychotherapy
Psychotherapy & Medication Management Combined
This is a 45 minute follow up appointment that combines psychotherapy with medication monitoring and adjustment. Evidence shows that taking medication combined with therapeutic approaches is more effective than medications on their own. Appointments are scheduled at a minimum of every 3 months to ensure the quality of your care.
Additional Information about Out-of-Network Reimbursement:
In many cases, there are two choices of insurance coverage offered: one with in-network ONLY coverage and one with in-network AND out-of-network coverage. Many health insurance plans offer substantial out-of-network benefits which will reimburse a generous portion (often 60-80%) of your treatment costs.
To assess how much treatment will cost you out-of-pocket, it is helpful to be familiar with your plan’s benefits:
Your annual deductible is the amount for which you are responsible before insurance shares the cost with you. There is usually a separate in-network and out-of-network deductible to meet.
Your co-insurance rate is the percent contribution that your plan expects you to make after the deductible is met (typically 20-40% of the cost)
Your annual out-of-pocket maximum is the maximum out-of-pocket cost that your plan expects you to pay each year. Once this maximum contribution has been met, most plans will then reimburse allowable charges in full for the remainder of the calendar year
Common CPT billing codes to ask about are 99205 (initial evaluation), 99213 or 99214 (follow up visits), +90833 or 90836 add ons (30 or 45 minutes of psychotherapy).
Additionally, many plans offer a healthcare flexible spending account which allows for a certain amount of out-of-pocket costs to be paid with pre-tax funds
Some plans require a prior authorization or a referral before out-of-network mental health services are covered
To find out more detail about out-of-network coverage from your insurance plan, visit your member site or call the number on the back of your card.