Holly FitzGerald Insurance Information

I file all insurance claims electronically, and will accept co-pays from you once your annual deductible is paid. Until your deductible is paid, I will ask you to pay me the full amount, unless we have made prior arrangements. You may pay by check or cash. I don't accept credit cards for payment. I will discuss a sliding scale if needed. You may call me on the phone if you need help between sessions. I'll call you back when I'm available. I add the time up that we spend on the phone, and bill it as a session when we reach 50 minutes.

I am a directly enrolled preferred provider for:

Medicare

Medicare pays half of their approved fee of $71.20. This is called the "psychiatric reduction". The rest is the responsibility of the patient. Many secondary insurance companies cover the remaining amount, like AARP or State Health BCBS.

Medicaid

Medicaid/ Children

Medicaid usually pays the entire amount for children. Children are allowed 26 sessions per calendar year, and more can be requested if needed.

Medicaid / Adults

Adults are allowed 8 session per calendar year, and more can be requested if needed. Medicaid usually pays most of the billed amount for adults. The fee per 50 minute session is $68.57. Your co-pay is based on your income, but the patient co-pay portion is usually very small. Please check with Medicaid to find out if you have any co-pay.

BCBS

BCBS pays differing amounts dependent on your policy and your employer. If you are out of state BCBS you will be covered like an in state person. I am a participating provider for Federal BCBS, State Health, Blue Advantage, Blue Options, and Costwise.

CIGNA

Cigna requires different co-pays based on your employer's agreement with them. Please check your individual policy.

Other Insurance Companies

Please check with your insurance to see if you are covered with me. I am a Licensed Clinical Social Worker. Often I am covered as an "out of network" option, and your co-pay could be higher. Please also check the number of sessions that are allowed.