Billing insurance

Dr. Sara’s North Carolina practice is a separate business entity from her Arlington, VA practice. She is in network with BCBS PPO, Carefirst, and able to see patients who have Tricare. Dr. Sara is a member of PsyPact and able to practice remotely into Alabama, Arizona, Arkansas, Colorado, Delaware, District of Columbia, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Minnesota, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, Ohio, Oklahoma, Pennsylvania, Tennessee, Texas, Utah, Virginia,  Washington, West Virginia, Wisconsin

If you want Dr. Sara to find out about your benefits and/or bill your insurance, the CMS/HCFA 1500 is required. Please download the form and fill it out. You can then either scan it and email it to us along with a copy of your insurance card or bring it with you to your first visit. If you have some other insurance, DrSara can bill your insurance electronically at no additional charge, but you will likely need to meet an out-of-network deductible before insurance will reimburse any charges. Out of network reimbursements come directly to you, so you will need to pay in full at the time of service.

Please note that insurance specifically excludes marriage and couples therapy from coverage as marital and couples issues are not deemed to be “medically necessary.” Health insurance is for the medical care of diagnosable mental and physical illnesses. Nonetheless some employers may allow you to use your Healthcare Savings Account to pay for marital/couples therapy. Please check with your HSA company. DrSara is able to accept HSA cards , debit, and credit cards for payment.

NC Notice Form

This form is the new version of the Notice of Psychologists’ Policies and Practices to Protect the Privacy of Your Health Information. This notice is not something you sign or consent to; rather, it is information provided to you about what the law says about how psychological and medical information about you may be used and disclosed and how you can get access to this information.

Out-of-Network NC Patient Contract

This is the contract for psychotherapy. Please read it carefully as it spells out the contract that defines our doctor-patient relationship. Our fee for a comprehensive 90-minute initial evaluation is $330. Subsequent visits are billed at $230 for 60 minutes, $275 for 75 minutes, and $195 for 45 minutes.

Out-of-Network Georgetown Patient Contract

This is the contract for psychotherapy. Please read it carefully as it spells out the contract that defines our doctor-patient relationship. Our fee for a comprehensive 90-minute initial evaluation is $330. Subsequent visits are billed at $230 for 60 minutes, $275 for 75 minutes, and $195 for 45 minutes.

BCBS NC PPO Outpatient Contract

This is the contract for psychotherapy to use if you have insurance through BCBS NC PPO. Please read it carefully as it spells out the contract that defines our doctor-patient relationship. Depending on the specifics of your coverage, you will likely only need to pay your in-network office visit copay when you see Dr. Sara.

Release of Confidential Information

Quality medical care in integrated care – care where your physical, mental and emotional challenges are considered together. If you are referred by a physician, it will be very helpful for Dr. Sara to communicate directly with him or her about your care; but in order to do so, she will need to have your written consent. Now that all your paperwork is done, click here to schedule an appointment!

Get to Know Yourself

Good psychotherapy should do so much more than just help you feel better. Good psychotherapy should help you deepen self-intimacy – your capacity to know and understand yourself, your strengths and weaknesses, without shame or harsh self-criticism. Learning to practice self-compassion is the cornerstone of getting to know yourself. It’s also the starting place for learning to make positive changes in your life using positive behavior change strategies. Harsh self-punishment is altogether different from accountability. Don’t settle for a life of good behavior – aspire to be the best person you can be, someone who is always growing.

For Your Convenience

Dr. Rosenquist accepts credit cards and healthcare savings cards, and she can provide you with a receipt if you want to submit to your insurance for reimbursement.