Great question. Being cash only allows me to provide my clients with personalized care, take more time, and use evidence-informed integrative treatments that are typically not covered by insurance plans. And then, it protects my clients privacy. Though I am not in-network with any insurance companies, I am happy to provide a superbill for out-of-network benefits.

My patients are self-pay, and depending on their out-of-network insurance benefits, may be reimbursed for some or all of the session fees. Some patients are reimbursed 100%, others none at all, and for many it's around 50-80%, before/after meeting a deductible.

To find out for sure, I’d recommend calling the number on the back of your insurance card and asking: a. "Do I have out of network coverage for Psychiatry? If yes, is there a deductible? If there's a deductible, have I met it?" b. "What percentage of fees will be covered?" c. "What is the allowable amount for codes 99204, 99205, 99213, 99214, 90833, 90836, 90838, 90785, 99217?"

Though I am not in-network with any insurance companies, I am happy to provide a superbill for out-of-network benefits.

My patients are self-pay, and depending on their out-of-network insurance benefits, may be reimbursed for some or all of the session fees. Some patients are reimbursed 100%, others none at all, and for many it's around 50-80%, before/after meeting a deductible.

Here is a detailed version of my fee schedule.

https://intakeq.com/c/5uZjPM

Two ways:
1. Credit card authorization form- fees will be deducted 24 working hours prior to the appointment time.
https://intakeq.com/c/G68Sbm

2. For existing patients, you may access patient portal at the bottom of every page on this website. which will allow you to make payments with credit cards.

The answer is no for a sliding scale. I am unable to contract with the financial institutions. However, we can talk about options for financial assistance on a case by case basis.

Yes. Please refer to the fee schedule packet for further information.

Life happens and we understand. APA guidelines legally allow us to bill a full charge

if cancelled less than 24 business hours. If the cancellation or rescheduling is done

within 24-48 business hours prior to appointment, you will be eligible for upto 50% refund of your payment. My clients and their time is highly valuable to me, so I don't overbook. It is only fair that I get paid for my time. This will allow for a mutually respectful relationship.

Excellent question. I use Intake Q, a HIPAA compliant website. This forms the first barrier to protect you. Next I am out of network with insurance

companies, which means I dont have to share your information with them. I can bill you for the codes, and per your policy they may reimburse you for upto

100%. Third, our website is HIPAA compliant, and I dont take any medical information directly from our website. Four, we also employ highest barrier standards so your

information is not hacked. Please refer to privacy policy below.

Yes. You may use this as a debit card for payments. You can use the same form for credit card authorization, or contact use here for further information.

I offer telehealth sessions. They are highly efficient, streamlined on a HIPAA compliant platform. I also offer a Hybrid model, where the first appointment is in-person and follow-up can be alternated with telehealth. At Arête, your comfort is our priority. We take every measure and we DONOT compromise on the quality of care, be in In- person or Virtual.

Click on any of the “contact me” buttons to send a message with any questions, and share some information about what you’re looking for. After completing the form, you’ll be directed to my calendar to schedule a 15 minute phone call. We will discuss your reasons for seeking care, what you’re looking for, and whether you feel like I would be a good fit for you. You can also start here.

This is an excellent question. I have opted out of working with insurance companies, but this doesn’t mean your health insurance will not cover part of the cost of my services. I provide superbills to submit for reimbursement, and I also work with Reimbursify to check your out of network benefits, and I can even submit the reimbursement claims for you to save you that time and hassle.

If that has worked well for you in the past, I’m guessing you probably wouldn’t be reading this! If you’re satisfied with seeing someone for a 15-20 minute visit, every few months, for medication refills and little else, then an in-network provider may be the best fit for you. An out-of-network provider, like me, would be an excellent fit for you, if you’re interested in the following:

• A provider who can take more time with you during and between visits to work on your personalized goals
• A multidisciplinary trauma-informed approach that honors your wisdom and preferences
• Evidence-informed, integrative psychiatry that is difficult to find in agency or community health settings
• Easy, hassle-free scheduling and communication with your provider between visits
• Making an investment in your health and well-being
• Insurance limits and dictates a provider's care regardless of your needs. My commitment to you sets me aside from traditional psychiatric care. Restoring balance requires a holistic approach, one, which requires a provider to invest heart, time, and effort. I will help guide and support you beyond active treatment. I will prioritize setting individualized valuable treatment plans and goals that align in meeting your needs of mind, body and environment.

Not at all. Integrative psychiatry is the practice of offering high-quality Western medicine approaches such as psychotropic medications, while also recommending evidence-informed complementary therapies to treat psychiatric symptoms and optimize wellness. If you’re 100% against taking psychotropic medications, it is important for me to clarify that I am not anti-medication. It is likely we will discuss the benefits of pharmaceutical interventions, but I also use non-medication approaches often and will discuss the nuances of this with you based on your particular circumstances.

This means that I understand the role that control, trust, and empowerment play in making decisions about your treatment, including medication. When you decide to take a medication, what happens next often has as much to do with your relationship with that provider as it does with the molecule’s effects on your body. Oftentimes my patients have been prescribed medications in the past, but had negative reactions or never even took the medication because:

1. Their provider didn’t take the time to explain it
2. Didn’t prepare them for potential side effects
3. They didn’t have a strong, trusting relationship with that provider.

At a gut level, patients felt afraid, mistrustful, and not in control–all of which can be re-traumatizing, discouraging them from seeking care they might desperately need. It is a core value in my practice to give patients a sense of control over their treatment, be flexible and informative when it comes to medication choices, and create a compassionate environment that helps people feel safer taking medication.

I can work with patients from Texas, Louisiana and India.

Per the MCI rules, the initial evaluation should be In- person. I visit India every 3 months, please reach out to me here

A doctor's note will be provided upon request, after every appointment. FMLA, on the other hand, is an entirely different beast. It needs the beneficiary to be frequently assessed and repeatedly re-evaluated. This is best done by your primary care physician, both from time efficiency point of view and financial point of view. My first recommendation would be to reach out to your PCP and then to me. I would only do this for an established client.

Reaching out is the first step. This consultation will help us determine our level of comfort working together and the best way to address your mental health needs.

Yes. The Ryan Haight Act amended the Controlled Substances Act (CSA) to generally require that the dispensing of controlled medications by means of the internet be predicated on a valid prescription involving at least one in-person medical evaluation. At the same time, it also established accepted categories of telemedicine pursuant to which a practitioner may prescribe controlled medications for a patient despite never having evaluated that patient in person, provided that, among other things, such practice is in accordance with applicable Federal and State laws.

The Drug Enforcement Administration (DEA), along with the Substance Abuse and Mental Health Services Administration (SAMHSA), issued a temporary rule to allow the following:

All telemedicine flexibilities regarding prescription of controlled medications as were in place during the COVID-19 public health emergency (PHE) will remain in place through November 11, 2023

For any practitioner-patient telemedicine relationships that have been or will be established on or before November 11, 2023, all telemedicine flexibilities regarding prescription of controlled medications as were in place during the COVID-19 PHE will continue to be permitted through November 11, 2024.

For more information visit: https://telehealth.hhs.gov/providers/telehealth-policy/prescribing-controlled-substances-via-telehealth

Examples of controlled medications are:

Stimulants for ADHD- ritalin, concerta, adderall, vyvanse etc.

Benzodiazepines- xanax, ativan, klonopin etc.

Sleep medications- ambien, lunesta, sonata etc.