Insurance & Rates
We pride ourselves in making excellent mental health care accessible. At RIVIA, we are in-network with the following commercial insurance plans and student plans. If you don’t have one of these plans, we offer out-of-network billing with all our available providers, and discounted rates for treatment with our student clinicians.
Here are some frequently asked questions for your information.
Will RIVIA Mind bill my insurance?
Yes. Services that qualify will be billed by RIVIA Mind for the following insurance companies, provided we have your most up-to-date insurance information on file.
RIVIA Mind will submit bills to your insurance company directly and will do everything possible to advance your claim. We will give you an estimate based on your benefits before starting treatment. However, this is based on the initial inquiry to your insurance company and is only our best estimate at the time. There might be a discrepancy when the claims are actually submitted.
What is a deductible?
A deductible is the amount of money you have to pay before the insurance company begins covering part or all of your medical expenses. Deductibles can vary greatly among insurance plans and types of service. Deductibles also reset every year. Typically, at the beginning of the calendar year, you would be responsible for the deductible before your insurance begins to cover part or all of your medical expenses. Please check with your insurance company to find out if you have a deductible and when it resets.
What is a co-payment?
A co-payment is a set amount of payment that you may have to pay after you reach your deductible. You are responsible for this payment, and the rest of the bill is paid by your insurance. Co-payments can vary greatly among insurance plans, so be sure to check the amount for outpatient mental health services on your specific plan.
What is co-insurance?
Co-insurance is a set percentage of the insured medical expenses that you may have to pay after you reach your deductible. It differs from co-payment as it is not a set amount, but is a percentage. For example, some plans share the cost by splitting between 80% insurance pay and 20% co-insurance paid by you.
Co-insurance can vary greatly among insurance plans and types of service. Please check with your insurance company to find out if you have co-insurance.
What does it mean if I’m out-of-network?
For out-of-network billing, payments are due at the time of your service, and you will receive the reimbursement from your insurance company afterwards, depending on your benefits. We simplify this process by billing your insurance directly on your behalf.
The rate to see our psychiatrist is: $400 for 45mins initial evaluation, $300 for 30mins follow-up. Psychiatric nurse practitioner: $325 for 45mins initial evaluation, $225 for 30mins follow-up. Social worker therapist: $200 for all evaluations and follow-up 45mins.
For Florida, our psychiatric nurse practitioner evaluation rate is $300 for 45mins and 30mins follow up is $200. For Florida social worker therapist, our rate is $175 for 45mins.
If you prefer to submit the claims on your own, we can supply you with a superbill which includes all the information needed for your insurance company to process your claim.
What is self-pay ?
For all self-pay patients, the rate to see our psychiatrist is: $400 for 45mins initial evaluation, $300 for 30mins follow up. Psychiatric nurse practitioner: $325 for 45mins initial evaluation, $225 for 30mins follow up. Social worker therapist: $200 for all evaluations and follow up 45mins.
We do offer the option of low fee psychotherapy and medication management with mental health nurse practitioner students (available to book directly under telehealth, new patients, select the service here).
Can I use my Health Savings (HSA) or Flexible Spending Account (FSA) to pay for services?
Any deductible, co-payment, co-insurance, or self-pay can be made using your FSA or HSA card. For your convenience, we also accept credit cards and WageWorks Healthcare Cards. We do not accept money orders, personal checks, or cash.
What if I can’t afford the services, do you offer a sliding scale fee?
We do not offer sliding scale as we are primarily an in-network practice, but we do offer payment plans. We are happy to discuss details with you so that we can meet your specific needs.
We also offer a low flat fee of $100 for 60mins of psychotherapy and medication management services with our mental health nurse practitioners in training, who are fully supervised by our licensed Nurse practitioners and Psychiatrists.
I still have questions!
Submit a form here and we will get back to you about your individual benefits and answer any specific questions you may have, or please contact our billing team directly at firstname.lastname@example.org or call us at 212 203 1773.