FORMS & FEES
Some important things to know and do before our first meeting.
Fees
Private Pay Provider
I am a private pay provider and do not have an agreement with any insurance plan. However, your insurance plan might still reimburse you for some of my services under your out-of-network mental health benefits. At your request, I can provide a receipt for services that can be presented to your insurance company. Please check with your provider regarding out-of-network benefits.
Flat Fee
I charge a flat fee for professional services; however, there are cases where I charge less. I let my clients know upfront: If you need to talk immediately, please call free of charge. Similarly, the cost per session can be adjusted in case of financial hardship.
Individual Counseling: $190 per session
I start individual counseling with one, 90-minute intake session followed by regular, 60-minute sessions.
Couples Counseling: $225 per session
Couples counseling begins with a 4-session assessment: a couples session, followed by individual sessions with each partner, then a summary session where we review goals and next steps. Couples intake sessions are 90 minutes each, ongoing couples sessions are 60 minutes.
Couples therapy is not typically covered by insurance.
No surprises: Good Faith Estimate
You have the right to receive a "Good Faith Estimate" explaining how much your mental health outpatient psychotherapy care will cost
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 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 costs, like medical tests, prescription drugs, equipment, and hospital fees.
- Make sure your health care provider gives you a Good FaithEstimate in writing at least 1 business day before your medical service or item. You can also ask your health care 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 GoodFaith 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 Center of Medicare and Medicaid Services: www.cms.gov/nosurprises or call 1-800-985-3059.
FORMs
After our initial consultation, if we decide to have a first session, I will send you my intake forms packet via FormDr, a HIPAA compliant web app.
Therapy involves a
special conversation
from which
new possibilities
emerge.