Investment & FAQ


An honest talk about fees and insurance:

Hillary Pilotto Profile

I am an out of network provider for insurance companies. There are many reasons why I made this decision, but the biggest is because managed health care is a broken system that continuously takes advantage of its customers and providers. By not taking insurance, I can guarantee a level of care for my clients that is held to MY standard and not the insurance company’s. Also:

  • I feel conflicted about the amount of personal information insurance companies require me to share about my clients in order to “prove” the medical necessity for services.

  • The reimbursement I receive from insurance companies does not cover my cost of living, the fees associated with running my practice, or the amount of time I spend filing and fighting for claims when I could be seeing clients.

  • Medical necessity requires that clients have a diagnosis. Often there is no diagnosis; the diagnosis is personal to the person they don’t want it shared’ or the amount of time I have to spend defending the diagnosis eats up income I would be reimbursed for the session itself.

  • By being out of network, it allows me to keep a much smaller caseload. I can work collaboratively with clients to find the best treatment for them.

 

FAQS


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