Rates and Insurance Information


 

Rate per 45-minute session is $160.  

I do not accept insurance at this time; however, you may check your plan benefits to determine if you are eligible for reimbursement for a portion of the session fee through your out-of-network benefits. Out-of-network benefits for major plans may cover anywhere from 20% to 80% of the session cost once the deductible is met, although some may not provide any coverage.  See "Insurance" below for more information.

Hill Country Sleep and Behavioral Health has partnered with Better – an app that helps patients who pay out-of-pocket to get reimbursed by their health insurance.  After each visit, simply submit the superbill you receive via the Better app. They work with your insurance to get you reimbursed.

 

Consultations

Dr. Vaughan  offers a free a 15-minute pre-appointment consultation, which includes development of a treatment plan and an estimate for length of treatment.  

The "end goal" of the initial consultation is for you to leave with a good understanding of:

  • What treatment will involve (including how we will know when you're "done")

  • Approximately how long you can expect treatment to last

  • Appropriate referrals if Dr. Vaughan determines that another provider's services would be a better fit for you


Insurance

Please note that, although Dr. Vaughan is considered an out-of-network provider, insurance companies may reimburse patients for a percentage of the cost of her services.  What this means to you is that, at the end of each session, you will pay the full session fee, after which Dr. Vaughan will provide you a coded receipt and a claims form to submit to your insurance company as documentation for reimbursement.  

Before your first visit, call your insurance company (usually listed on your ID card) and ask questions about your benefits. Be prepared to ask them the following questions:

  1. Do I have out-of-network mental health benefits?
  2. Are services rendered by a licensed psychologist covered?
  3. Do I have a deductible and if so, what is it? 
  4. Are my mental health and medical deductibles separate or combined? (If they are combined, you may have already met your deductible with medical expenses).
  5. If I have out-of-network benefits, will I be reimbursed the full amount I paid or a portion?
  6. What documentation needs to be submitted for reimbursement?

Note:  You can often determine in advance what you will or will not be reimbursed by providing your plan administrator with what is called a "CPT code" (which, for a 50-minute therapy session, is typically 90834) and Dr. Vaughan's office zip code, which is 78730.

 

Cancellations

Out of consideration for other patients, if you must cancel a session, please notify Dr. Vaughan at least 24 hours prior to your scheduled time. If she does not receive notification within 24 hours, except in the case of acute medical illness or emergencies, you will be charged a late-cancellation fee of $100.  Patients who no-show for an appointment (fail to attend a scheduled appointment with no attempt to notify Dr. Vaughan) will be billed the full cost of the missed appointment.  This system is in place to minimize the occurrence of empty appointment slots that may be of benefit to individuals who are waiting for services.