Medicare Rate Information

Medicare plans work a little different than all other insurance plans. They use this list of rates for providers in Minnesota https://www.cms.gov/medicare/physician-fee-schedule/search?Y=0&T=0&HT=2&CT=2&H1=90791&H2=90847&C=66&M=5

• The rates you would see for our practice are non-facility rates and are reduced to 80% since we are Master's level clinicians.
• A 45-minute 90834 session is paid at $81.89, which is much lower than health insurance plans, but slightly higher than Medicaid/medical assistance plans. 
• In fact, medicare doesn't do the co-pay thing. Medicare says we (the provider) are able to obtain %80 of the listed rate at our master's level and then they pay us %20 less than that. 
• We are required to invoice the patient the %20 difference. So if you have medicare they would pay $65.51, you would pay 20% of that which is $16.38 for a 45-minute session.

Here is more details about medicare https://www.medicare.gov/basics/get-started-with-medicare/medicare-basics/what-does-medicare-cost . We are a Part B cost.

There are also medicare supplemental and advantage plans that have a different set of rules and rates. So, it would be in your best interest to understand all the options. Here is a helpful video. https://youtu.be/WZVQSFBq2uw?feature=shared

Each amount below is the fee we bill health insurance and families that make over $250,000 a year. 

Diagnostic Intake Session (may be required to be repeated annually or every 3-5 years by the state of MN or health insurance plan) (the appointment is up to an hour or more and the paperwork completed by the therapist can take up to 2 hours.) $300

60 Minute Session=$250

45 Minute Session=$200

30 Minute Session=$150

Family Therapy (30-60 minutes)=$200

Family Therapy without client present (30-60 minutes)=$200