Costs & Reimbursement

Dr. Lahaie charges and receives payment directly from patients and their families for services rendered. Dr. Lahaie does not contract with any insurance companies directly. Dr. Lahaie accepts payment for services directly from his patients.

Some insurance companies have out-of-network benefits that may provide reimbursement for some of the costs of out-of-network psychiatric services, which will pay a portion of the cost of psychiatric services after you have satisfied your plan's deductible. If you plan to use this benefit, it is advised that prior to your first appointment that you check with your insurance plan to confirm the availability of out-of-network benefits on your plan and the portion of expenses covered. Dr. Lahaie will be happy to provide you with a receipt with the required information you will need as you submit any necessary forms to your insurance company, sometimes referred to as a "superbill."

Once you submit your paperwork to your insurance plan, any reimbursement the company provides you will be sent directly to you. Dr. Lahaie does not submit any claims directly to insurance companies. If you file a claim with your insurance company, they may access confidential information about you and/or your child or family member. This may include diagnosis, severity, treatment plan, and any other information the company determines is relevant. Companies may require this information prior to initiation of treatment and may seek to involve themselves in the management of your treatment.

Dr. Lahaie’s current fee schedule is as follows:

$400.00/45 minute session, including psychiatric consultation/intake (90792), 45-minutes therapy sessions, 45 minute therapy sessions with medication management, and 45-minute parent guidance sessions. Other significant activities are billed at a rate of $534.00 per hour, and are prorated by time. A sliding scale may be available in limited instances; please inquired directly regarding this if you are interested. This fee-schedule is continuously assessed in light of inflation, practice costs, and other factors, and may be adjusted at any time.

Some Suggested Steps for Inquiring about Out-of-Network Mental Health Benefits from your Insurer:

If you are planning to utilize out-of-network benefits, it is advisable you take the following steps:

1. Check your out-of-network benefits with your insurance plan:

These are typically in the Summary of Benefits that is included in a member information packet or on your insurance company website.

2. Call your insurance company to verify:

The best way to be absolutely sure of your benefits is to call your insurance company member services line and ask:

  • Do I have an out-of-network mental health benefit and what is my out-of-network deductible for outpatient mental health?

  • How much of my deductible has been met this year?

  • What is my out-of-network coinsurance for outpatient mental health?

  • Do I need a referral from an in-network provider to see someone out-of-network?

  • How do I submit a claim form for reimbursement?

  • How long does reimbursement processing take?

3. Request a superbill/insurance reimbursement statement from Dr. Lahaie via the patient portal:

If you or your insurance company require a superbill, Dr. Lahaie will happily provide you with one that that you may submit to your insurance company at the end of each month. This will detail how many sessions you have had, diagnostic codes, and the total fee. These are available on your request and are generated by the system on an automated basis monthly.

4. Anticipate reimbursement directly from insurer:

Depending on your specific plan, your insurance company will reimburse you the portion of the cost according to the specific reimbursement terms of your insurance plan.

5. Be mindful of changes in your insurance:

Depending on your specific plan, the specific reimbursement terms of your insurance plan may change over time. Additionally, if you change your insurance to a different plan or provider, it is recommended that you clarify with the new plan or new insurance provider the nature and availability of the benefits.