Fees-Payment - Virtue Medicine P.C.

Direct Pay Model of Care
All services at Virtue Medicine utilize a direct-pay model of care. In addition to checks and credit cards accepted through office reception, we also use online invoicing for some clients – especially those using teleconferencing who may not be coming in to the office in person. First appointments must be pre-paid in order to reserve the appointment slot.
While we understand that the billing practices of this office will not fit every person’s needs, this model of care ensures that we are able to provide the highly personalized level of integrative care in which we specialize. A transparent fee schedule and immediate collection means that provider and reception time is given to taking care of our clients’ needs instead of emails and paperwork for collecting on contracts, or the obstacles and audits practiced by for-profit insurance companies.
Our practices are committed to creating a safe, therapeutic environment for focused growth and healing. As professionals, we are passionate participants in conversations about the ethics of health care reform and client advocacy.
Fee Schedules for Our Providers
Full Details can be found on the individual provider pages.
Janeta Tansey, MD, PhD
Coaching Clinic
$200/30 minutes or $345/50 minutes – Individual Coaching, self-pay
$400/hour – For Organizational Contracts: Individual Executive and Leadership Coaching
$800/hour – For Organizational Contracts: Teamwork/Group Executive and Leadership Coaching
$500/hour – Individual Professionalism/Ethics Consultations and Coaching for Disruptive/Distressed Professionals/Details
$1000/hour – Team/Group Interventions for Professionalism/Ethics Consultations and Coaching for Disruptive/Distressed Teams/Details
$200 – Administrative Consultation, up to 30 minutes of focus on needs-assessment or triage for organizations
$2000/package – Targeted Leadership Coaching with Assessments, includes 90 minute initial session, three strengths assessments and report of findings (VIA, FIRO-B, MBTI Leadership), and a concluding 90 minute coaching session to focus on application. Click here for more details on this popular package.
Integrative Psychiatry Clinic – Dr. Tansey’s medical practice is currently full and closed to new patients.
$750 – New Adult Patient, 90-minute Psychiatric Evaluation
$345 – 50 minute follow-up medical and psychotherapy appointment
$530 – 80 minute follow-up medical and psychotherapy appointment
$245 – 30 minute follow-up medical and psychotherapy appointment
$100/15 minutes for phone contacts and paperwork requests
$500/hour for Worker’s Compensation Cases
JoAnna Romero Cartaya, PhD
$390/90 minute – Initial Appointments (age 18+)
$260/hour – Adult Psychotherapy Services
$260/hour – Adult Psychotherapy or Coaching Services
Psychological Testing Clinic Details
$400/hour – Worker Compensation Cases, Psychological Care
$65/15 minute, with a minimum $20 charge – Paperwork or Phone/emails for Established Clients
Anna Evans, LMT
Massage in our Studio –$85/$100/$115 for 60/75/90 minutes
Guided Meditation by Zoom
$50/$70/$90 for 30/45/60 minutes for individuals
$70 for 20-30 minutes and $100 for 45-60 minutes for groups
Holding Space Groups, by Zoom for 3-5 participants – $150 for 75 minutes
On Third-Party Payors (Health Insurance)
Our Coaching Clinics do not use medical diagnosis or medical therapies to shape the care plan, but rather a conversation and collaboration to support and facilitate personal/professional growth, aligned with the ethical and professional standards of the International Coaching Federation.
Because a medical diagnosis and medical interventions are required for submitting services to health insurance, coaching is not eligible for insurance reimbursement. As a wellness service, its eligibility for healthcare spending accounts is subject to compliance with IRS guidelines and restrictions, the understanding of which is the full responsibility of our clients.
Our Health Care Clinics do not participate with insurance panels or Medicaid, and full payment is due at the time of service at the rates listed on our fee schedule. When medical services with a medical diagnosis have been provided, we have itemized receipts with billing and diagnostic codes available for clients, if reimbursement from insurance companies or documentation for healthcare flexible spending accounts is being sought.
Our patients are strongly encouraged to speak with their insurance companies in advance of scheduling their first appointment, so that they are aware of their policy requirements and limitations (contact information will be on the back of the insurance card). Your insurance provider may have restrictions for mental health or specialty medical services, or may require a referral from your primary care physician before you initiate health care at Virtue Medicine.
If you are uncertain about your health insurance coverage policies, it may be helpful to ask your insurer these questions:
Do I have out-of-network benefits to see a doctor whose office practice is not on your doctor panel?
Do I need my primary care provider to refer me to see an out-of-network doctor before I am eligible for reimbursement?
Do I have a deductible that I have to meet before being eligible for reimbursement?
How much will I be reimbursed for each appointment?
Are there limits to the number of sessions I can submit for reimbursement in a calendar year?
What steps do I need to follow to apply for reimbursement?
Please be aware that there are insurance companies that may list our doctors by name as participating providers due to previous or ongoing work with other health care organizations. Our doctors’ clinics at Virtue Medicine do NOT participate in any insurance panels, and companies that provide contrary information to their policy-holders or the public are in error.
Patients will want to be sure they understand their insurance policy provisions for NON-PARTICIPATING PROVIDERS, as this is the status that is applicable to all of our doctors’ health care practices at Virtue Medicine.
Our Medicare Policies
Dr. Tansey and Dr. Cartaya have opted out of Medicare, meaning that they may accept patients with Medicare into their Psychiatry and Psychology Clinics only if our Medicare-eligible patients volitionally enter into a private pay contract stipulating that neither party will submit medical charges to Medicare. Medicare-eligible patients must review and sign the contract prior to initial scheduling.
Medicare Agreement Form for Opted-Out Providers
Tips on Understanding Medicare
Can you file a claim with Medicare to help with reimbursement for our opted-out health care providers?
Yes, if Medicare is your primary insurance and your secondary insurance covers out-of-network providers’ services. You may submit your claim to Medicare to receive a document confirming that Medicare is not paying the claim (because our providers have opted-out), and then submit this denial of claim that you receive from Medicare along with a claims form and payment receipt to your secondary insurer to request reimbursement from them.
No, if your only health care insurance is Medicare or Original Medicare, as our providers have opted-out and Medicare provides no coverage or reimbursement to you or to us.
No, if you have a Medigap policy in addition to Medicare (or Original Medicare), as Medigap only ‘fills the gap’ in benefits for Medicare-covered services.
No, if you have a Medicare Advantage Plan, even if your plan offers expanded benefits. Your insurance company contracts with Medicare to provide Medicare Part A and Part B benefits and therefore cannot pay for services obtained from providers with opt-out status.
No, if Medicare is your secondary insurance. However, if your primary insurance (e.g., insurance through your employer) covers out-of-network providers’ services, you may submit your claim to your primary insurer.