Simple, private payment for therapy that stays focused on your care
Cash Pay and Insurance
Dr. Mivshek is an out-of-network provider. Sessions are self-pay, and monthly superbills are available if you want to submit for possible out-of-network reimbursement.
Standard sessions $200Â
HSA and FSA accepted
Monthly superbills available
Does Dr. Mivshek Take Insurance?
Dr. Mivshek does not bill insurance directly. She is an out-of -network provider, which means clients pay for sessions at the time of service.
No direct insurance billing
No in-network insurance claims
Monthly superbills available
Clients may submit superbills to their plan
How Payment Works
Session fees vary based on length. Self-pay is accepted, and HSA or FSA cards may be used.
Intake session: $300 (90 to 120 minutes)
Standard session: $200 (45 to 60 minutes)
Brief session: $100 (30 minutes, established clients, younger children, shorter attention spans, and maintenance check-ins)
Credit cards accepted
Sliding scale may be discussed during the free consultation
HSA & FSA cards accepted
Why Clients May Choose to Pay Privately for Therapy
Cash pay therapy can feel more straightforward for clients who want privacy, flexibility, and care decisions that stay between them and their therapist.
More Privacy
Your therapy does not require direct billing through insurance for each session.
Fewer Insurance Requirements
Care is not built around insurance approvals, diagnosis rules, or session limits.
Clear Session Fee
You will always have full visibility of cost before you begin, so there aren't any unexpected financial surprises.
Flexible Focus
Sessions can focus on what matters most to you, your child, or your family.
Superbills, explained simply
A superbill is a detailed receipt that includes the information many insurance companies request for out-of-network reimbursement. Dr. Mivshek can provide a monthly superbill for clients who want to submit one to their insurance plan.
Reimbursement depends on your individual insurance plan.
A superbill may include:
- Provider information
- Session dates
- Service codes
- Diagnosis information when required
- Amount paid
- Client information
Why cash pay may be a good fit:
- A simpler payment process
- More privacy around your care
- Clear session pricing
- Care that is not shaped by insurance approvals
- The option to submit superbills yourself
How to ask your insurance company about reimbursement
Step 1
Call the number on your insurance card
Ask to speak with someone about outpatient mental health benefits.
Step 2
Ask about out-of -network therapy benefits
Use the words out-of -network mental health reimbursement.
Step 3
Ask what they need from you
Ask if they accept monthly superbills and how claims should be submitted.
Step 4
Ask about your costs
Ask about your deductible, reimbursement rate, and any limits on sessions.
Helpful Questions for Your Insurance Plan
Do I have out-of-network mental health benefits?
Do I need to meet a deductible first?
What percentage of the session fee may be reimbursed?
Do I need pre-approval for therapy?
How do I submit a superbill?
Is telehealth therapy covered for out-of-network care?
Are there limits on the number of sessions?
Can I be reimbursed for telehealth sessions?
Session details
Online therapy across Nevada
Individual and family therapy available
Free 15 to 45 minute consultation
Early morning, weekday, and evening availability
Payment details
Sessions from $100 to $300
Self-pay, HSA and FSA cards accepted
Monthly superbills available for possible out-of-network reimbursement
Sliding scale may be discussed during the initial consultation