Is BGT in Network with Insurance (INN)?

Yes. BGT currently accepts some commercial insurances for individual therapy. We do not accept Insurance for Couples & Family work. Not all providers in BGT are able to accept the same insurance plans. All Prospective Clients will be oriented to our policies in the consultation and intake process.

Does BGT offer Out of Network (OON) Billing?

We do! For all insurances outside of what your therapist can accept, we have partnered with Thrizer to handle the out-of-network billing & reimbursement process automatically for you. With Thrizer, you will only have to pay your coinsurance for sessions once your OON deductible is met, instead of paying full fee and waiting for reimbursements. This typically allows clients to save on average 50%-70% upfront on sessions once your OON deductible is met. Clients will be oriented to this service in detail during the consultation and intake process. This process is fully automated and clients do not need to submit Superbills to their insurance companies with Thrizer, everything is handled for you. This is a great option if you have decent OON benefits.

Why doesn’t BGT accept Insurance for Couples, Relationships or Family Therapy?

The American Medical Association (AMA), Medicare and commercial insurance companies have a very specific definition of therapy that involves multiple people. They have designated CPT codes 90847 and 90846 as billable for therapy that involves multiple people. The services attached to the codes are described as “Family or Conjoint Psychotherapy with or without Patient Present”. These services as defined by the AMA, require: 1) therapists to identify and chart a primary “patient” in a couple, relationship or family system, and 2) a patient’s partner or family member is there to assist with the treatment of the patient’s diagnosed disorder.

At BGT, we do not conduct couples/relationship or family therapy within the framework or limitations of CPT codes 90847/90846. When we work with couples, relationships and family systems, we see the relationship as the client/patient, and give meaningful attention to each person’s concerns and needs in that relationship. We believe in order to disrupt problem dynamics in any relationship, the relationship itself needs to be understood as a co-construction of all people involved, and we do not believe any one person in a relationship is solely responsible or needs to be centered when exploring how to make meaningful changes to better the relationship. So, by the definition widely accepted of the services linked to the billable codes of 90847/90846, how we provide therapy when multiple people are involved, is not a billable service.

Additionally, the rates at which these CPT codes are paid out by insurance companies is not commensurate to the service being provided, regardless of how these codes/services are defined or interpreted.

Does BGT offer Sliding Scale or Pro Bono services?

We do, but only for existing clients in the Practice who experience unexpected financial hardship. The Sliding Scale/Financial Hardship Program is a policy that is structured, transparent and applied consistently. It is based on financial criteria including a client’s income, debts & dependents as well as access (or not) to forms of intergenerational wealth including large savings, investments, and/or trusts. These offerings are usually time limited to 3-6 months. Ongoing reduced fee or pro bono spots are reserved for existing clients who have multiple marginalizations and no access to family support or insurance benefits.

What are the costs for Services at BGT?

Each therapist has a Usual & Customary Rate (UCR)--or a Standard Fee Rate– for each service they provide. This is the fee that is billed to insurance and it is the fee that is considered their baseline Self Pay rate. Each therapist’s Standard Fee Rate reflects their level of experience and specializations. Prospective clients will be oriented to our fee rates and policies during the consultation and intake process. An all encompassing fee range scale for the purposes of transparency, for a Self Pay 50 min session, is $140- $250.

Does BGT have a Late Cancel/No Show Fee?

Yes. If a session is no-showed or cancelled within 24 hours of the scheduled time, the client is still responsible for the session fee, unless the session is rescheduled for a time within that same week. For Insurance Users, the session fee you will be charged is your contracted rate through Insurance.

BGT therapists will wait 15 minutes into your appointment, before considering it a no-show. Some may wait longer with communication from the client.

Does BGT offer Good Faith Estimates (GFE)?

Yes, you’ll receive your GFE before your first appointment with us.

Check your out-of-network (OON) benefits below to estimate your therapy costs with us!