Office Hours

Mt. Lebanon Office Hours:

Fridays

Oakland Office Hours:

Monday, Wednesday

Accepted Insurance Plans:

I accept self-pay and UPMC, Highmark and Blue Cross/Blue Shield.  

Please, note that I do NOT accept UPMC for Life, UPMC for You, Cigna, Aetna or UBH.

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    I accept insurance and self-pay.

    I currently accept clients with the following insurance plans: Highmark Blue Cross/Blue Shield.  

    Note:  career counseling and assessment services are self-pay only.  Insurance will not pay for these services. 


    ADVANTAGES OF SELF-PAY


    1. Paying for psychotherapy out of pocket minimizes the exposure of your protected health information (PHI). Whenever you use insurance benefits to cover psychotherapy, the provider, albeit with your consent, has to release certain types of information to the insurance carrier in order to a) verify your eligibility for coverage, b) pre-authorize services (if applicable), and c) to process claims to obtain payment. As the result, the provider informs the insurance carrier of such personal matters as the nature of the issues you struggle with (presenting problem), psychiatric diagnosis, your treatment plan, and prognosis. In the event of Self-pay, your therapy remains completely private (with the exceptions to confidentiality such as in the event of persistent suicidal ideation, etc.). No reports of your treatment are shared with your insurance and all records remain with the therapist only.

    2. Furthermore, the advantage of Self-Pay includes the fact that no records of therapy exist in the Medical Information Bureau.. MIB records of your therapy could potentially compromise your ability to get current or future life, health, disability, or long-term care insurance. Self-Pay, thus, involves no psychiatric diagnosis code. If, however, you were using your insurance benefits, you would have to be assigned a psychiatric diagnosis in order for the provider to justify the medical necessity for the services provided. Once such diagnosis code is recorded by the insurance, it becomes part of your health care record.

    3. Since there are certain types of therapy that may not be covered by your insurance, such as relationship or couples therapy or group therapy, and certain modalities of therapy that might not be covered by your insurance, Self-Pay allows you to stay in control of your treatment. Self-pay allows you to also determine the length of your treatment based on your needs rather than on the basis of the allotted session benefits.

    COPAYS:


    If your insurance requires a co-pay, this payment is due at the time of the appointment.  I accept cash or check (make checks payable to "Marla Somova").  I do not accept credit card payments at this time except through this website. If you would like, you may pre-pay your co-pay online through this website.

    I reserve the right to discontinue services if your account is 30 days past due and to forward the following protected health insurance (PHI) to a collection agency if your account is 60 days past due: your name, address, date of birth, your SSN, your phone number, dates of services, and the amount/balance due.

    If you paid for the services with a personal check and your check "bounced" because of insufficient funds, an administrative (processing) fee of $30 will be added to your balance. I accept insurance and self-pay.

     

    SELF-PAY RATES/FEES:


    $160 per session (clinical hour is 53 minutes*)
    $60 per group therapy session


    LATE-CANCELLATION/NO-SHOW POLICY:

    If you do not show up for your scheduled appointment, and you have not notified Dr. Somova at least 24 "business" hours in advance, you will be charged a no-show fee of $120 (full cost of the clinical hour). Please, refer to the "pay online" page to see available discounts for making timely payments.

    Please, note that the reason behind this policy is to protect the provider's time, not to penalize you financially. If you are wondering why you should pay for the services you have not received, please, consider the fact that when you make an appointment with the provider,you are booking the provider's time that is no longer available for scheduling. Your session time is reserved/booked for you. I am rarely able to fill a cancelled session unless I know in advance. If you late-cancel a session or no-show, I will have to charge you for the lost time unless I am able to fill it. Please, note that your insurance will not cover this charge. 

    Administrative Costs 


    If a third party (whatever that might be: another provider, a lawyer, etc.) requests a copy of your treatment records, such notification, to be completed in time, would have to be made 5 work days in advance. A minimal $25 administrative fee will apply (for time, processing, and copying). Please, note that if a third party requests a copy of your treatment records, faxed releases of information signed by you will not be accepted. Dr. Somova will require the original release/consent to release information from you.

    These administrative/copying fees will not apply in the situation in which, with your consent, Dr. Somova will share clinical documentation with other health related providers (such as your PCP) in order to provide continuity of care.



    Court-Mandated/Employer-Mandated Documentation & Disability Documentation:


    Documentation (reports/letters of evaluation and recommendations) for court-mandated, employer-mandated and disability (FMLA, etc.) will be billed at a $150 per hour. Please, note that a minimum of 1 hour will be charged (for chart/data review and documentation).On-site depositions (taken at Dr. Somova's office) will incur the fee of $300 per hour. Off-site depositions will be billed at $400 per hour with a minimum of 2.5 hours, and at $300-per-hour rate for any additional time.