How fees work

The fee depends on the length of the session, and you get it in writing before you start. You pay by card at the end of each session, including HSA and FSA cards. A small number of reduced-fee spots are open; ask how to request one. Please give 24 hours' notice to change an appointment.

Raymond is out of network with insurance plans, so you pay for each session yourself. He does not bill Medicare or Medicaid. If you want someone who bills your plan, he will give you the names of colleagues.

A first session for your child is 50 minutes. Raymond talks with you first about what you have seen at home, then spends time with your child. You get the fee in writing before you book it.

Each month you get an itemized receipt (a superbill) with the dates and kind of session, to send to your plan, which may reimburse part of out-of-network care. It carries a diagnosis code your insurer can see. Your plan decides whether it pays anything, so ask before you start.

If you pay without insurance, you have the right to receive a written estimate of what care will cost before you start. Raymond gives you one before the first session. If the final bill is $400 or more above the estimate, you can dispute it. The estimate is not a contract.

Nobody at Sylvan does, because Raymond does not bill your plan. To find out whether your plan reimburses, call it before the first session and ask about out-of-network mental health benefits.