Fees and Policies
Fees
- Individual sessions (in-person or video) are $120 per 50-minute session.
- Couples sessions (in-person or video) are $150 per 50-minute session. Sessions can be booked at $225 per 1-hour 20-minute session or $300 per double session on request.
- Family sessions (in-person or video) start at $150 per session. Session times and rates must be discussed with the therapist.
Payment is due at the time of service delivery. Many forms of payment are accepted: cash (in-person), checks (in-person), most major credit cards, and health savings accounts. A service charge of $25 will be charged for each returned check.
Insurance
We are currently in-network with Blue Cross Blue Shield (BCBS), Aetna, Cigna, and Curative. If you plan to use your insurance benefits, we would be happy to help verify your coverage and answer any questions about your expected costs before your first appointment.
If you have a different insurance plan or prefer to pay out of pocket, please feel free to reach out to discuss your options.
Cancellation
Sessions must be canceled with at least 24 hours’ advance notice to your therapist to avoid being charged. Clients will be financially responsible for a full session fee for any session canceled with less than 24 hours’ notice or missed without prior notification (no-show). The next appointment cannot be made until the no-show fee has been paid or other arrangements are made.
Superbills
If you’re not familiar with the term, a super bill is a document that you can use to request reimbursement from your insurance company for the cost of your therapy sessions. This can be particularly helpful if your therapist is out-of-network or if you’re currently uninsured. The process of using a super bill can be confusing, but we’re here to guide you through it.
What Details are Included in a Superbill?
We want to make the process of using a super bill as simple as possible. We will provide you with a detailed super bill that includes all of the information that insurance companies typically require, such as the date of service, diagnosis codes, and procedure codes. You can then submit this document to your insurance company to request reimbursement.
What Should I Ask My Insurance Company?
To verify out-of-network coverage for mental health services provided through telehealth, please call the number on the back of your health insurance card and ask for “member services.” It’s important to ask the following questions to ensure you have all the information you need:
- Does my insurance plan cover out-of-network mental health services provided through telehealth?
- What is my yearly deductible, and has it been met, or how much more until it’s met?
- How many sessions per year does my plan cover?
- What is the reimbursement rate for out-of-network mental health services with CPT codes 90834 and 90837?
- Does my insurance plan cover Z codes for couples therapy?
- Is there a co-payment required for out-of-network mental health services?
- Do I need prior authorization or approval from my primary care provider?
- What is the home and mailing address on my file to ensure checks are issued to the correct address?
- How do I submit a superbill? Is there an online portal, or do I have to mail or fax a copy?
- What is the time limit to submit a superbill?
Why Is There a Diagnosis on My Super Bill?
If you’re considering submitting a super bill to your insurance for reimbursement, there are a few important points to keep in mind:
- A clinical diagnosis is required: Insurance providers typically require a clinical diagnosis from the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) or the International Classification of Diseases (ICD-10) for reimbursement. This means that your therapist must provide a diagnosis in order for you to receive reimbursement.
- Couples therapy may not be covered: Insurance providers often only cover therapy that is deemed medically necessary. This means that couples therapy may not be covered, as it may not meet the criteria for medical necessity. However, it’s important to talk to your insurance provider and therapist to see if there are any specific coverage options for couples therapy.
I’ve Submitted My Superbill. What are the Next Steps?
Once you submit a super bill, there are a few things you can expect:
- Time Limit for Submission: Insurance companies usually have a time limit within which you must submit a super bill to be considered for reimbursement. If you miss this deadline, you may lose the opportunity to receive any reimbursement.
- Processing Time: It typically takes 2 to 4 weeks for your health insurance provider to process your super bill. They may either pay the full amount of services minus your copay or apply this amount towards your deductible.
- Denial of Superbill: If your superbill is denied, it’s important to contact your insurance provider and request information about the denial.
FAQs
I’ve never talked to anyone. I’m used to handling things on my own. Does going to therapy mean something is wrong with me?
Not at all. People who ask for help know when they need it and have the courage to reach out. Everyone needs help now and then. In our work together, we will help you explore and identify your strengths and how to implement them to reduce the influence of the problems you are facing.
What’s the difference between talking to you or my best friend or family?
The difference is between someone who can do something and someone who has the training and experience to do the same thing professionally. A mental health professional can help you approach your situation in a new way—teach you new skills, gain different perspectives, listen to you without judgment or expectations, and help you listen to yourself. Furthermore, counseling is completely confidential. You won’t have to worry about others “knowing your business.” Lastly, if your situation provokes a great deal of negative emotion, and you’ve been confiding in a friend or family member, there is the risk that once you are feeling better, you could start avoiding that person so you aren’t reminded of this difficult time in your life.
Why shouldn’t I just take medication?
Medication can be effective, but it alone cannot solve all issues. Sometimes medication is needed in conjunction with counseling. Our work together is designed to explore and unpack the problems you are experiencing and expand on your strengths, which can help you accomplish your personal goals.
How does it work? What do I have to do in sessions?
Because each person has different issues and goals for counseling, the process will be different depending on the individual. We tailor our therapeutic approaches to your specific needs.
How long will it take?
Unfortunately, it is not possible to say in a general FAQs page. Everyone’s circumstances are unique to them, and the length of time counseling can take to allow you to accomplish your goals depends on your desire for personal development, your commitment, and the factors that are driving you to seek counseling in the first place.
I want to get the most out of therapy. What can I do to help?
We are so glad you are dedicated to getting the most out of your sessions. Your active participation and dedication will be crucial to your success.
Good Faith Estimate
As of January 1, 2022, under Section 2799B-6 of the Public Health Service Act, healthcare providers, and healthcare facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.
Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
Make sure your healthcare provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or 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 the CMS website.
Consumer Rights
Requesting Your Health Care Records
To request a copy of your health care records, please submit a written request to your clinician. Your request may be sent by email or mail. If you need assistance with the process, your clinician will provide guidance and support. Records are provided in accordance with Texas law and professional standards.
Contacting the Texas Behavioral Health Executive Council
To contact the Texas Behavioral Health Executive Council (BHEC) regarding questions, concerns, or general information about licensed mental health professionals, please visit the Council’s contact page.
Filing a Consumer Complaint with the Office of the Attorney General
Consumers may file a complaint with the Office of the Attorney General’s Consumer Protection Division by visiting their website.