FAQs

Insurance Information and Fees:

Appointment Information

Fees:

My fees are competitive and in line with those of other psychotherapists with similar levels of experience in New York City, typically ranging from $200 to $350 per session. Please don’t hesitate to reach out to me directly to inquire about specific appointment fees for the services you require. Additionally, I offer a limited number of sliding scale slots for those who may need financial assistance and wish to apply for a reduced fee.

Insurance:

I am not in-network with any insurance. Some insurance plans will cover out-of-network psychotherapy and will partially reimburse for this. Please feel free to contact your insurance carrier for more details. Here are some steps to help you navigate 0ut of network coverage:
Here is some information that will help you navigate your insurance. Please let me know if you have any questions.

Dr. Dawn Dugan: NY License 022144; DC License PSY200001488; NPI 1134626781 CPT (PROCEDURE) CODES

90791 – 120-minute Psychosocial Diagnostic Evaluation
90834 – 45 minute session
90837 – 60 minute session
90832 – 30 minute session

A sample conversation you can have with your insurance company could be:

After a recent consultation with a clinical psychologist, I’m interested in arranging a Clinical Psychosocial Evaluation. Depending on the outcome of the evaluation, I would like to schedule weekly psychotherapy sessions with the psychologist. It’s important to note that she does not accept insurance, so I’d appreciate information regarding my out-of-network benefits. Dr. Dugan’s NPI # is 1134626781, and she is likely to use CPT codes 90791, 90834, and 90837 for billing purposes. Could you please provide details on the expected percentage or dollar amount of reimbursement I can anticipate?

Some follow-up questions:

1. Is there a cap (maximum amount) you will pay for an office visit/given year?
2. Do I have a deductible I must first meet? If so, how much is that?
3. Do I need preauthorization? If so, can you grant me preauthorization to see this provider with the information I just gave you?
4. Is there a specific claim form I must use to submit claims and if so, where can I access that?
5. How much time after a doctor’s visit do I have to submit a claim?”
6. Do you cover telehealth sessions?