Payment & Insurance

Part of Seleni’s mission is to provide accessible and specialized therapy that is covered by insurance. We’ve got you covered.

A select number of our clinicians are in-network with Blue Cross Blue Shield.

If you do not have Blue Cross Blue Shield, our clinicians are considered out-of-network. The out-of-network fee starts at $300 per session.

In-network Coverage

If you see your insurance company below, we can submit an out-of-network claim on your behalf:

Aetna, Cigna, EmblemHealth, Oxford, UnitedHealthcare

Out of Network Coverage

Sliding Scale

We strive to make therapy accessible and affordable and recognize that insurance is not always an option. We offer a sliding scale to qualifying individuals. Sliding scale rates are re-evaluated every six (6) months.

Payment & Insurance

  • Since every plan is unique, we are unable to check reimbursement rates and plan benefits. We encourage you to call the member services number on the back of your insurance card.

  • We suggest explaining that you would like to speak with someone involved in out-of-network mental health benefits, and that you’re interested in learning the reimbursement rate for therapy services. The procedural or “CPT” codes we use are:

    • 90791 (the first appointment)

    • 90834 (all other appointments thereafter)

    • 90847 (couples therapy)

    Our facility Tax ID is 462331896.

  • This means that your deductible must be met before you can be reimbursed for any sessions. For example, if your deductible is $1,000, and your insurance applies $200 towards your deductible after each session (the “allowable amount”), you will not be reimbursed until you’ve had 5 sessions.

  • Submitting an out-of-network claim works in a few simple steps:

    1. We collect the session fee at your appointment time.

    2. After your session, we automatically submit the claim for you.

    3. Your insurance company reviews the claim and determines whether you qualify for reimbursement.

    4. Your insurance company sends the reimbursement directly to you.

  • The allowable amount is what your insurance plan determines as customary for the cost of the session.

    Let’s say your clinician has a rate of $300 per session and you submit the claim to your insurance. We also assume that your plan reimburses at 70% (30% coinsurance).

    Upon review of the claim, your insurance plan can determine that the allowable amount for sessions is actually less than you paid for the session (for example, $200). So, in that case, you would be reimbursed 70% of $200 (not $300).

  • Coinsurance is the amount you are responsible for. In other words, your plan will reimburse you 70% of the allowable amount. If you have 40% coinsurance, your plan will reimburse you 60% of the allowable amount, and so on.

  • Download our insurance worksheet, which you can use at any time.

    If you still have questions, we’re happy to review everything with you. We get it - understanding benefits can be an intricate maze!

Cancelation & No-show Policy

  • If you are unable to show up for a scheduled appointment, we require that you cancel at least 24 hours in advance. Please call our office at (212) 939-7200 promptly if it is necessary to cancel your appointment.

  • If a No Show or Late Cancellation occurs, you will be charged a cancellation fee up the full fee of the visit. Charges will be determined based on your insurance and payment plan.

    • Late Cancellations: A cancellation is considered late when the appointment is cancelled without notice 24 hours in advance.

    • No Shows: A “no-show” is a patient who misses an appointment without cancelling it. A failure to be present at the time of a scheduled appointment will be recorded as a “no-show”.

REQUEST APPOINTMENT

Request an appointment and our intake coordinator will reach out to you to discuss our services, team, and clinical specialties.