Therapy and assessment rates depend on the length and complexity of the services provided,
ranging from brief therapy sessions for medication maintenace** to extended therapy sessions
of two or more hours. Such lengthy sessions are not typical but can be very valuable in dealing
with complex issues/situations, especially involving multiple individuals and/or family members.
The Initial Session combines diagnostic assessment, interview, case formulation and discussion
of treatment goals and options. You will be asked to complete some forms and questionnaires
prior to this session. The initial session typically takes two to three hours and includes the
- Completion of additional forms and paperwork needed.
- Computer-assisted assessment with me (Dr. Speier) present to answer questions, while I review/score the assessment materials you have already completed.
- I review the computer test(s) results, highlighting main points & noting areas to explore or clarify.
- We then discuss your current concerns, symptoms you are experiencing and their impact, your personal and family history, and other background information.
- Next I integrate and summarize the main issues and factors as I understand them, and provide a preliminary diagnosis, if appropriate
- We then discuss treatment options, intial areas of focus, and therapeutic strategies.
- Throughout this process, I encourage questions and feedback from you.
Payment is due at the time of the session.
Cash, check and all major credit cards are accepted for payment.
INSURANCE AND OTHER THIRD-PARTY PAYORS
Please check your insurance coverage first to see if you have mental health benefits. If you have a
"high deductible" plan and you have not met it, you will pay for all services at 100% of the insurance
contract rate until the full amount. of your deductible has been met. After that, depending on your policy,
you may pay co-insurance (a percentage of the charge, usually 10-20%), a flat co-pay or nothing for the
remainder of your insurance calendar year.
Note: Dr. Speier has resigned from most insurance provider panels. She currently accepts BCBS PPO
and private pay. [Based on available information, it appears that state employees with a BCBS-managed
HMO plan may no longer be covered under the same provider contract as those with the new plan that is
described as most similar to the previous OGB BCBS PPO plan. Thus, Dr. Speier would be considered
to be out-of-network. In that case, the BCBS HMO plans will provide greatly reduced to no coverage for
treatment with Dr. Speier
If you have insurance, whether Dr. Speier is in- or oyouut-of-network, we will check the following:
- The amount of your deductible and how much has been met
- Any limitations on session frequency, length of sessions and so forth
- The amount due by you for your copay or co-insurance for a routine therapy session (60 min.)
- Whether referral from or collaboration with your primary care physician is required.
Dr. Speier will accept Worker's Compensation cases. However, appropriate authorization from your
Worker's Compensation Insurance Company's representative, not your Case Manager or your lawyer,
must provided in writing with an authorization number. This must be received in advance, before
we will schedule the initial session.
Dr. Speier accepts legal cases if the attorney contracts to pay for all services in advance. This includes
charges for assessment, consutation, therapy, literature review, depositions, and court appearances.
If you do not show up for your scheduled therapy appointment, and you have not notified the office
at least 24 hours in advance, you are required to pay the full cost of the session. Insurance does not
pay for missed appointments. This policy is included in the policy and procedurees contract which must
beis signed prior to beginning the intake session.
and for any consequent side effects from those medications. She is not licensed to prescribe any type of narcotic.