OUT-OF-NETWORK INSURANCE
Available for clients who prioritize more flexibility, privacy, and choice rather than staying in-network. If your plan includes out-of-network benefits, Bluestone Clinical can help verify your benefits and submit claims for possible reimbursement. Reimbursement depends on your individual plan. TRICARE East members: Please do not use the “Check My Out-of-Network Benefits” button. TRICARE benefits are verified through a separate process with Therapy Notes Billing before scheduling.

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FAQS

*Reasons to choose out-of-network. 

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Private-Pay Session Fee
The standard private-pay fee is $225 per 60-minute session and $125 per 30-minute session for established patients who are clinically appropriate.

Private Pay Advantages
For many individuals, private-pay care provides greater flexibility, privacy, and continuity without certain insurance requirements.

For example, insurance companies may require a mental health diagnosis, confirmation that treatment is medically necessary, and access to your clinical information when reviewing claims. Personal growth, life/career/academic coaching, relationship concerns, loneliness without a diagnosable condition, ordinary stress not meeting a diagnostic criteria, parenting guidance alone, wellness or prevention sessions after medical necessity has ended, and other non-diagnostic services may not be covered, yet are available through private pay.

Private-pay clients also have greater flexibility in choosing the frequency, length, and focus of sessions based on their goals rather than their plan’s coverage rules.