Insurance is likely to reimburse you for your treatment but I do not directly bill them for my services nor can I accept their significantly reduced rates. Providing therapy under the constraints of a third-party payer (Medicare, Medicaid, managed care insurance companies, etc.) often interferes with the ability of my patients and me to make collaborative decisions about treatment. For example, third-party payers can influence the type, frequency and duration of your treatment, and I believe treatment decisions should be made exclusively by patients and their therapists. In order to maximize the freedom, confidentiality and choice of the individuals I treat, I do not sign contracts with third-party payers or bill them directly.