Billing and Insurance
Everything you need to know about obtaining services at our office!
Our sessions last 53 minutes (standard clinical hour).
Your co-pay, co-insurance, deductible amount,or self-pay rate is expected prior to beginning any service.
We accept some insurances but not all and each therapist accepts different insurances. You can read what type of insurance each therapist takes by clicking "Our Therapists."
Engaging in therapy requires an investment of time, money, effort, and energy, with the potential for transformative and life-changing outcomes.
We currently accept payments via cash, debit card, credit card, and HSA card, via Stripe through Sessions Health.
RATES
Our rates vary for individual, couples, and family services.
If you are not using insurance, please give us a call or email, as we offer competitive self-pay rates.
We are flexible to accommodating people who need income-based, reduced rate options through our Counseling Intern Program.
WE DO NOT OFFER FREE CONSULTATION APPOINTMENTS.
Please note we no longer accept insurance for couple's therapy. Insurance requires that the primary person in the couple be diagnosed with a DSM disorder and that the couple's treatment focuses on the treatment of that disorder. The vast majority of couple's therapy sessions tend to focus on relational issues such as conflict resolution, communication, boundaries, etc., and therefore we would be in breach of our insurance contract to accept insurance in such circumstances.
If you are seeking services for divorce or custody issues, we are NOT child custody evaluators and we do NOT address divorce proceedings.
If you are using EAP (Employee Assistance Program), Medicaid, or Medicare, we are NOT currently accepting new clients at this time.
If you have specific questions about your copay and mental health coverage benefits, the best way to get accurate information is to reach out to your insurance company directly by calling the member services phone number on the back of your insurance ID card.
IN-NETWORK BENEFITS
Our agency uses an external billing partner Headway (Anthem/BCBS,Aetna, Cigna, Optum/United Health), to manage insurance and billing.
If you have other insurance benefits, we do not use an external billing partner for billing.
You can click on one of the links to verify your insurance benefits or contact us to verify insurance.
Our external billing partner will verify your insurance benefits and bill your insurance directly on our behalf.
Your rate will vary by plan.
Always call your insurance company to verify coverage PRIOR to beginning therapy services.
If your insurance information cannot be verified or claim is denied after services are rendered, you may be responsible for the full cost of the session.
If you indicate that you will be using insurance for your therapy sessions, please note that it is your responsibility to know and understand your mental health benefits, including any co-pays, co-insurances, or deductibles.
As a courtesy, we will verify your mental health/insurance benefits, should there be any discrepancies, any OWED AMOUNT IS YOUR RESPONSIBILITY.
Any cost estimates provided are non-binding and subject to change once claims have been processed.
OUT OF NETWORK BENEFITS
If your insurance is not listed, we do not submit claims to your insurance company. However, many insurance companies cover a percentage of services with out-of-network providers. Please contact your insurance company and ask the following:
Do I have out-of-network behavioral or mental health benefits?
What is my out-of-network deductible? Has it been met?
Is there a yearly limit to the number of sessions or total amount that is reimbursable?
What are the reimbursement rates for an Initial Intake session, 45 minute session, 60 minute session, or family session?
Do I need pre-certification or pre-authorization, or a referral from my provider?
What form do I need to submit claims, and where do I send it?
You will be provided with receipts (Super Bill) that you may be able to submit to your insurance company for reimbursement
LATE CANCELLATIONS
There will be a $75.00 charge for late cancellations (less than 24 hours’ notice) and missed appointments (no show). Please remember to cancel or reschedule 24 hours in advance. You will be responsible for the late cancellation/no show fee if cancellation is less than 24 hours or if you fail to show up for your scheduled appointment. A no show appointment is defined after no contact with therapist after 5 minutes of your scheduled appointment time.
The cancellation fee can be waived if we successfully reschedule the appointment within the same Monday to Friday week. The rescheduled session may take place either in person or via video, depending on mutual availability.
**For some clients, cancellation fee does not apply, contact our office for additional information.**
Insurance will not reimburse for late cancellations or no show appointments. Charges incurred for missed appointments must be paid in full prior to your next scheduled session.
Always communicate with our office regarding your need to cancel due to unexpected events.
Effective 5.16.23
The card on file will be charged for any late cancellation (less than 24 hours notice) or no show appointment the same day the missed appointment or late cancellation occurred. You must have a card on file to receive services with our therapists.
After a combination of 3 (three) late cancellation or no show appointments in a 12 month period, your therapist may discontinue services and provide you with a referral.
Good Faith Estimate FYI for Self-Pay Clients
You are entitled to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost. This is under the federal law enacted 1/1/22 called The No Surprises Act, Title 45, section 149.610. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.
For a treatment course of weekly therapy for 4 to 6 months, the out-of-pocket costs will be approximately $400-700 per month depending on your therapist.