Fees

• Individual Sessions (In-Person or Video) are $100 per 50-minute session.
• Couples Sessions (In-Person or Video) are $120 per 50-minute session. Sessions can be booked at $180 per 1-hour 20-minute session on request.
• Family sessions (In-Person or Video) start at $120 – $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 check returned.

Insurance

We DO NOT accept insurance, however, we would be happy to provide you with a Superbill upon request so that you may file for reimbursement.

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 super bill? Is there an online portal, or do I have to mail or fax a copy?

• What is the time limit to submit a super bill?

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 Super bill, 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 2-4 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 super bill: If your super bill is denied, it’s important to contact your insurance provider and request information about the denial.

Cancellation

Sessions must be canceled with at least 24-hour 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.

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 www.cms.gov/nosurprises.