House Calls

That's right. I'm available to come directly to you anywhere in the immediate Hampton Roads area (Norfolk, Virginia Beach, Chesapeake, Hampton, Newport News). I will do whatever has to be done; medication management; couples therapy; individual therapy with or without medication management; crisis management. The fee is by the hour, including transportation time. Please text me at 757-219-2753 for a price quote on this service.

Crisis & Emergency Services

Having a crisis after normal business hours? Having a mental health emergency on the weekend? I'm available for same-day appointments via the Zoom Platform. Just like above, for therapy, medication management, crisis management, to help if you have a child, teenager, or adult on the verge of hospitalization - just about anything you can think of. Again, this is a special service. Please text me at 757-219-2753 for a price quote.

Cancellation Policy

You must let me know within 48 business hours of your appointment if you aren't going to be at your appointment. Otherwise, a no-show counts just like a regular appointment and is billed just like a regular appointment. That is because I need some time to give your space to someone on the waiting list and coordinate them into the schedule. Since there are 1) multiple text reminders, 2) you can check your appointments and reschedule at your leisure at www.mymedicallocker.com, and 3) we always discuss your next appointment time/date at your previous appointment, this really should never come up. Obviously, if you have an emergency or extenuating circumstances, please text me at 757-219-2753. If you no-show your appointment, you must reschedule and make another one through the portal. I can refill your meds only if you are out and have made another appointment and will give you enough to get to that appointment.

Superbill Payment Info

Intake Appointment: 60 mins that involve medication management and therapy is included -- $450. I do take credit card information that is stored cryptically with cyber insurance. I only charge the card after the appointment is completed.       
Follow-up appointments: 30 mins of medication management and therapy. $225 for 30 mins. Credit card paid after the appointment.   
Reimbursement forms: pre-filled emailed to you within 24 business hours, FREE.
Medication Changes Outside Appt: $50 to send Rx's to another pharmacy only once if that pharmacy doesn't carry it, otherwise, I don't make medication changes outside of an appointment, only during an appt. If i have to send it to more than 1 place, $50 for each new pharmacy. Please call them to see if they have your medicine in stock before asking me to call it in to avoid extra charged.

School Medication Form: If done during the appointment free. If outside, $50.
Other Forms (like FMLA): $75 for a basic FMLA packet.
Disability/Emotional Support Animal: $100
Notes less than 10 mins: $50, Notes more than 10 mins: $100
Emergency / Same Day Appointments: $500 for one hour, $250 for 1/2 hour. 
Work or school note: If done during the appointment free. If outside, $50.
Other work (court fees, contact w/ attorneys, miscellaneous. items): TBD

Marijuana Prescription outside appt: $75, during appt $25

At the end of the appointment, I email you a Superbill which is a gridded form that every health insurance requires and accepts. I send it as a PDF file that you print and then mail. The address is at the top of the form. Please check with your health insurance company first to make sure they reimburse for "out-of-network providers." The reimbursement is quite good --  see the light blue area below.

Medicaid products: Optima, I believe, accepts out-of-network claims. Call to confirm with your Medicaid product that they accept "out of network claims." Regardless, I can still see you for the full appointment price.

Medicare: Does not accept out-of-network claims. I can still see you for the regular appointment price.

If you have any questions, this site helps you with some faqs. 

https://www.choosingtherapy.com/superbill/

Dr. Sachs invoice graphic
HCFA form

Here are actual reimbursement checks from Insurance companies.

Some patients actually MADE money! Check with your carrier to confirm they reimburse out-of-network claims for out-of-network providers like me.

Please click the blue text or the "down" arrows and see for yourself!

I want your trust, and the proof is the best way to reassure you that patients are being paid back!

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I just got the following on July 22, 2022: 

From Optima:

Patient J: $690 out of $700 = total cost of $10 for 3 appointments.

Patient K: $175 out of $175 = $0 spent. Completely reimbursed by Optima. 

Patient L: $445 out of $525 = 84% coverage. Total cost of $70 for 2 appointments.

 

 

Patient A: $175 for 30 min appt. Optima reimbursed $156.25. Net cost: just $18.75!

optima check.jpg

Patient B: Initial Appt was $350 & Optima returned with a $370.43 check, so "B" made a profit of $20.23! Pretty crazy to think you could make money from a doctor's appt.

Optima EOB for initial viist $370 for $350 image.1.jpg

Patient C: BCBS FEP gave "C" a $302.05 check for the $350 appt. Net cost $47.95!

anthem check.jpg

Patient D: Received a check from Anthem for $140 for $175 appt.

Anthem $140 out of $175.JPG

Patient E: Received a check from Tricare of $75 for a $175 appt.

tricare check $75 out of $175.JPG

Patient F: Received a check from Optima of $350 for a $350 (even!) appt.

optima $350 out of $350 (even!).JPG

Patient G: Received a check from Optima of $230 for a $175 appt. (profit!)

optima $230 out of $175 (profit!).JPG

Patient H: Received a check from Optima of $254.55 for a $350 appt.

optima $254-55 out of $350.JPG

Patient I: Received a check from Optima of $450.43 for a $525 appt.

optima -450 out of -525.JPG

Patient Y: made 10 dollars profit, 185 paid out of 175 billed

example-2-patient-Y-made-10-dollars-profit-185-out-of-175.jpg

Patient X: paid 100 percent, 175 out of 175 for both claims

example-1-pt-X-paid-100-percent-175-out-of-175-for-both-claims.jpg

From Optima:

Patient J: $690 out of $700 = total cost of $10 TOTAL for 3 appointments.
Patient K: $175 out of $175 = $0 spent. Follow-up appointment 100% completely reimbursed by Optima. 
Patient L: $445 out of $525 = 84% coverage. Total cost of $70 for 2 appointments.

 
 
 
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How the reimbursement process works