FAQ

To schedule an initial consultation, please fill out the consult request form on the contact us page. You can also call or email directly at (973) 699-2944 / sarah@sarahdumoff.com. If we are unavailable to answer your call, you can leave a message on our confidential voicemail and we will get back to you as soon as possible

In the first few meetings, we typically gather information about your personal history, historical patterns/narratives/beliefs and potential therapy goals. Individual and couples psychotherapy sessions are 45 minutes in length and the duration of the treatment depends on each individual case.

Our therapists are seeing clients both virtually and in person at our offices at 26 Court St in Brooklyn Heights from Monday-Saturday.

Our sessions fees range from $150-285 for individual sessions and $275-385 for couples sessions. Sliding scale fees are limited, but can certainly be discussed on a case-by-case basis. We never want you to seek to reduce your stress while saddling yourself with a new financial burden and will do our absolute best to work with you so you can get the care you need.

We ask for 24 hours notice for cancellations, otherwise you are responsible for the cost of your session. There is no cancellation charge if we are able to reschedule your session for the same week. This might feel strict, but it is very hard to book a new client into the same slot with less than 24 hrs notice.

Please note that insurance companies generally do not reimburse you for missed session fees.

Like many private practices, here/now is an out of network practice. This means that we do not participate on any insurance panels and clients pay us directly after each session. This allows us to focus our time and attention on providing each client with the highest level of care. This also means that clients with insurance plans that cover out of network medical expenses will have most if not all of their session fees reimbursed once the cilent submits their superbills to their insurance provider.

Those covered by an insurance company with out-of-network benefits can receive substantial reimbursement for treatment, typically 60-80% of the therapist’s fee. Prior to your appointment, please inquire with your insurance provider to see what your out-of-network coverage for mental/behavioral health services is. Some helpful questions to ask when calling:

Do I have out-of network coverage for outpatient psychotherapy (CPT code 90834)?

What is my deductible and have I met it yet?

What is my coinsurance (% that your insurance company will pay after your deductible has been met)?

This notice went into effect on January 1, 2025

Your Rights and Protections Against Surprise Medical Bills

(OMB Control Number: 0938-1401)

When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing. 

What is “balance billing” (sometimes called “surprise billing”)? 

 When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network. 

“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count towards your annual out-of-pocket limit. 

 “Surprise billing” Is an unacceptable balance bill. This can happen when you can’t control who is involved with your care – like when you have an emergency or when you schedule a visit with an in-network facility but are unexpectantly treated by an out-of-network provider. 

You are protected from balance billing for: 

Emergency services 

If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s n-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services. 

Certain services at an in-network hospital or ambulatory surgical center 

When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in- network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed. 

If you get other services at these in-network facilities, out-of-network providers can’t balance bill you unless you give written consent and give up your protections. 

You’re never required to give up your protection from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network. 

When balance billing isn’t allowed, you also have the following protections: 

• You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.

• Your health plan generally must: 

• Cover emergency services without requiring you to get approval for services in advance (prior authorization). 

• Cover emergency services by out-of-network providers. 

• Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits. 

• Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit. 

If you believe you’ve been wrongly billed, you may contact the New York State Education Department Office of Professions by calling 518-474-3817. 

Visit https://www.cms.gov/files/document/model-disclosure-notice-patient-protections-against-surprise-billing-providers-facilities-health.pdf for more information about your rights under Federal law.

‍Visit https://www.dfs.ny.gov/consumers/health_insurance/surprise_medical_billsfor more information about your rights under New York State law.

EMDR is a structured therapy that encourages the patient to briefly focus on a trauma memory while simultaneously experiencing bilateral stimulation (typically eye movements), which is associated with a reduction in the vividness and emotional intensity associated with the trauma memories. EMDR therapy is an extensively researched, effective psychotherapy method proven to help people recover from trauma, PTSD symptoms, OCD, anxiety and depression.

Internal Family Systems (IFS) is an approach to psychotherapy that identifies and addresses multiple sub-personalities or families within each person’s mental system. These sub-personalities consist of wounded parts and painful emotions such as anger and shame, and parts that try to control and protect the person from the pain of the wounded parts. The sub-personalities are often in conflict with each other and with one’s core Self, a concept that describes the confident, compassionate, whole person that is at the core of every individual. IFS focuses on healing the wounded parts and restoring mental balance and harmony by changing the dynamics that create discord among the sub-personalities and the Self.