GENDER AFFIRMING Care Assessments & LETTER WRITING

Dr. Tyler Farrell, Ph.D.  is available to provide letter writing for gender affirming care for anyone 18+ years of age. She has extensive experience with providing letters for hormone therapy, FFS surgery, top surgery, and bottom surgery. Email info@lgbtcounselingdmv.com to get started.

Letter writing services requires two steps: a 60-90 minute session with the clinician to assess readiness and medical necessity, and then an additional 30-60 minutes of administrative time to prepare the letter. This two hour process is charged at our standard hourly rate of $260/hour for a total of $520. We allow for 25% of the letters we do to be on a sliding scale or pro bono basis at pay-what-you-can rates.

Before seeking counseling, check with your insurance company about out of network reimbursement. Ask the following questions: 

1. What is my out of network deductible?

2. What percentage  is reimbursed before and then after that deductible is hit?

3. What is the specific reimbursement/coverage for CPT code 90834 and 90834 (individual sessions), and 99080 (letter writing preparation)?

Tyler Farrell, PhD (they/them) who identifies as part of the transgender and gender non-confirming identities, leads a drop-in, no commitment support group for those who have medically or surgically transitioned genders and for those questioning and considering transition. The groups goal is to provide a safe place to ask questions, seek advice, and facilitate support. The group is $35 per person, plus sliding scale options.

Email tyler@lgbtcounselingdmv.com to join the next group.

All of our clinicians work with clients going through or considering going through gender transitioning, gender expression changes, and more. Book a consult on our website today to get started.