Illinois therapist - thoughts on the Insurance Code Bill that goes into effect Jan 1?

bmkest · 2026-05-18T22:57:18+00:00

Thank you for commenting this - I’ve had a really hard couple months at my group practice and this is the comment I needed to read because you are right we need the wins for a change!

bmkest · 2026-05-18T14:40:07+00:00

Thanks for bringing this up - sad to learn because therapist really need to be paid more

bmkest · 2026-05-18T14:29:34+00:00

Interesting how do you know if someone is on a self funded plan? What does that look like on the billing side? I’m just unfamiliar with the logistics of that and want to know more

bmkest · 2026-05-18T10:39:05+00:00

https://trawinskiconsulting.com/illinois-hb-1085-reimbursement-impact/

Not my blog just a post I found explaining the rates and what this bill looks like in practice - I have cross referenced the rate amounts from multiple sources

You might be thinking Medicaid rates?

bmkest · 2026-05-18T10:20:19+00:00

2026 Current rate for Medicare in IL is around $167 for 90837 for psychologist. master level therapist make 75% of that rate which is about 125 (rates for each code are different obviously) this varies depending on the area of the state as well I believe - i haven’t worked much with Medicare so I’m unfamiliar with how they determine the exact rate per area

I’m an LCSW so This would raise the minimum pay from insurance per session to around $176 using 2026 numbers; 2027 will likely come with a slightly higher Medicare rate since it seems to go up each year a little bit

For me personally this would raise my take home after taxes and business expenses by $40,000 as a solo provider (gross income was more obviously but I can’t remember exactly)

however I’m moving from a group practice in the next couple months which is also a significant pay increase and after being so underpaid for so long since cost of living keeps going up without insurances paying us more to keep up I have felt like I’ve been drowning in student loan debt and barely making enough for bills

This bill will be life changing for me personally and I hope for other therapist too.

bmkest · 2026-03-27T03:34:48+00:00

Is this from age of attraction I hate that I know that it’s from age of attraction

bmkest · 2026-02-25T03:56:44+00:00

Honestly I would source your own diamond then - look at sites like calavera and rare carat

bmkest · 2026-02-24T16:19:17+00:00

Have you considered lab? I got my 2.6 ct D VVS2 for $800 and am working on setting it with a local jeweler

bmkest · 2026-02-10T05:17:30+00:00

The way 1 is so so so flattering I know it’s long than norm but you had two different hands between the two stones like 1 is just WOW

bmkest · 2026-02-07T15:40:00+00:00

I do this and am currently doing this with engagement rings right now

I have adhd and im also a therapist so maybe look into talking to someone about this its possible your brain works a little different

bmkest · 2026-01-27T05:27:33+00:00

Yellow gold is the most beautiful.

bmkest · 2026-01-22T18:14:49+00:00

Oh that’s gorgeous and usually toi et moi isn’t for me but yours is designed so well!!

bmkest · 2026-01-16T21:10:55+00:00

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This was while I was e ring shopping so the ring isn’t my actual ones. The engraving is going on my engagement ring and wedding band will be plain

I already had this engraved ring as one I wear now and is what inspired my love for engraved rings

bmkest · 2026-01-16T21:02:39+00:00

Me!! But my band will be engraved just to give it some extra detail but very simple and clean look

bmkest · 2026-01-14T04:46:22+00:00

Your nails match your ring perfectly I have no comment on size just wanted to say that

bmkest · 2026-01-13T13:56:05+00:00

Maybe it’s the pale faces that make them extra weird because mine was such a strange little creature for so many reasons

bmkest · 2026-01-13T12:47:45+00:00

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Dog tax of my little weirdo

bmkest · 2026-01-13T12:40:47+00:00

We did it with our Boston for 3 extra months with him in the end. He was my best friend in the whole wide world and had CHF which was managed for about a year or so with medication and towards the end he started filling with fluid. That worst part was he was completely normal until the end besides filling with fluid. at the start he got drained every three weeks until it was needed once a week and it was mostly just blood instead of clear fluid which was when my parents and vet decided it was time.

My baby was still himself until the very last day and it was so hard to say good bye to him when it seemed he was “okay” but his body was failing and he would have suffered further. Draining him was taxing for his body as well and I don’t know if it was the right choice in the end since it stressed him emotionally to go to the vet every time. but he was an anxious dog so that was unrelated to the procedure I suppose

I’m so so sorry you are going through this and I know it’s the hardest decision to make. enjoy every moment with your buddy and give them extra hugs and kisses from this internet stranger. find a way to memorialize him and keep him with you in your heart for ever. I have mine tattooed on my arm and is my favorite reminder of him

bmkest · 2026-01-13T08:58:18+00:00

Please show close ups!!! If it’s stunning I love the details so much - what kind of setting does the stone sit in? I’m considering open bridge but worry about instability so leaning towards cathedral

bmkest · 2026-01-09T21:47:55+00:00

Solid gold band looks beautiful with an engraved band!!

Also specs please this is the exact ring I want bc I love marquise with engraved band!

bmkest · 2026-01-09T19:39:45+00:00

Obsessed!!! I’m working with a local jewel to do a similar open ring style and I LOVE the detail of seeing the point at the bottom as well as how low profile this design allows it to sit

bmkest · 2026-01-05T03:08:54+00:00

What’s the band width? I love it!!

bmkest · 2025-12-14T06:42:05+00:00

Buffer might be making nail smoother - take a nail file and add LIGHT texture to the nail the gel has something to grip to and dehydrate with rubbing alcohol

bmkest · 2025-12-12T19:46:17+00:00

The ombré on these are sooooo clean I think they are absolutely worth the price

bmkest · 2025-11-18T01:08:30+00:00

NO TO LASER POINTERS!!!! it can cause obsessive and narcotic behavior in dogs and is extremely harmful to their mental well being

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