Fees and Payment Information

Payment Policies

  • Payments for the initial evaluation and any treatment sessions are due at the time services are rendered.
  • For telehealth sessions, pre-check-in on MyPennMedicine is required. If you do not have a MyPennMedicine account, go here to create one: MyPennMedicine Sign-Up.  (Click here for a video tutorial on how to create an account.)
  • If an unpaid balance for two sessions is accrued, we are unable to schedule another session until the balance is resolved. 
  • Additionally, if an initial evaluation or treatment session is missed or canceled with less than 48 hours notice, you will be charged the session fee. These are policies of the Perelman School of Medicine that we are bound to uphold. 
Insurance Information

CTSA Acceptable Insurances: 

  1. Insurances offered through Penn Care PPO for University of Pennsylvania Health System employees only
  2. Insurances offered for Children’s Hospital of Philadelphia employees only through Personal Choice and Keystone Health Plan East
  3. Insurances offered for University of Pennsylvania employees only through Keystone Health Plan East
  4. All Aetna insurance plans (except Aetna Medicare)

We are not participating providers for any other insurance plans (including Medicare or Medicaid).

Before completing an evaluation or beginning treatment at the CTSA, all prospective patients should verify coverage and out-of-pocket cost with your insurance carrier as copays and deductible amounts will affect the total cost.

To verify your out-of-pocket cost, call your insurance company and provide the following information:

·       Tax ID: 232743545

·       NPI: 1821486846

·       Evaluation Procedural Code: 90791

·       Follow-up Procedural Code: 90837

·       Add-on Code for 90 minute sessions: 99417

Self-Pay Information

Many of our patients pay for treatment out of pocket. Because the CTSA is an out-of-network provider for all other insurance plans, it is the patient's responsibility to get information from their insurance company about the possibility of reimbursement, the rate of reimbursement, and to submit claims on their own behalf for reimbursement. Please note that reimbursement is often only available through insurance companies for licensed psychologists.

Before completing an evaluation or beginning treatment at the CTSA, you should verify your out-of-pocket cost and reimbursement rate with your insurance carrier.

To verify your out-of-pocket cost, call your insurance company and provide the following information:

·       Tax ID: 232743545

·       NPI: 1821486846

·       Evaluation Procedural Code: 90791

·       Follow-up Procedural Code: 90837

·       Add-on Code for 90 minute sessions: 99417

Once you complete an initial evaluation or are receiving treatment here, you will have access to After Visit Summaries through your MyPennMedicine account at the conclusion of each visit, which contain the clinician's name, license and NPI numbers, diagnosis, level of service, and codes required for claim submission.

If your insurance will not cover any of the fees or if you are uninsured, low cost treatment options are available with our advanced doctoral student clinicians. Assessment and treatment is often free or reduced cost if you are eligible to participate in any of our treatment research programs as well.

Worker's Compensation Benefits

The CTSA accepts payments from Worker's Compensation benefits on a case by case basis.


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