Rates and Insurance

Please take a moment to review the following information

Rates

Initial Intake: $140
Couple Therapy: $130
Individual Therapy: $130
No Show/Late Cancellation: $75

Sessions generally last 50 minutes

At this time we do not offer reduced rates.

Cancellation Policy

If you do not attend your scheduled appointment, and you have not notified the office at least 24 hours in advance, you will be required to pay a $75 fee. This is not billable to your insurance. If you cancel or no show 3 appointments then you will be removed from active patient status.

Payment

We accept all major credit cards, HSA and FSA cards, cash, or check. For your convenience you can securely store your card information and/or pay online. Payment is due at time of service. If you use your insurance you may need to meet your deductible before they cover services.

Insurance Information

We are in network and able to file with most major insurance companies. As a courtesy, we do our best to verify your insurance benefits prior to your first visit. Ultimately it is the patient’s responsibility to be aware of the benefits, eligibility, deductible, copay, and coinsurance responsibilities. Most insurance companies cover individual therapy if you meet criteria for a mental health diagnosis as described in the DSM-5.. Not all plans have family therapy (couple therapy) benefits. See below for more info on couples therapy and insurance.

Aetna
Anthem/BlueCross and BlueShield
Cigna
Humana
Multiplan
Optum/United Healthcare

Tricare*

*We are a Tricare Authorized, Non-Network Provider. We pull the authorization for services and file your claims. Each plan’s cost share and deductible are different for non-network providers. To determine your out of pocket cost please visit https://www.tricare.mil/Costs

Couple Therapy & Insurance

One of the questions I often hear is “can I use my insurance for couple therapy?” The answer is “it depends.” If your plan has family therapy benefits then we may be able to file for insurance reimbursement, but there are several other criteria that must be met.
For couple therapy to be billed to your insurance:

  • one member of the couple must be the identified patient
  • that identified patient must have a mental health diagnosis that meets medical necessity
  • the diagnosis must be the focus of the treatment plan

Billable examples:
If a veteran and spouse are seen for conjoint therapy and the veteran is diagnosed with PTSD and the PTSD is affecting the marriage, then the insurance may be billed.
If one member of the couple is diagnosed with a substance use disorder and it is the focus of treatment then it is billable.

Non-billable examples:
A couple seeking therapy to heal from infidelity does not meet medical necessity as defined by insurance companies and is not billable.  Even if one person in the couple is diagnosed with Bipolar disorder, the infidelity is the focus of the treatment, not the Bipolar and it is still not billable. 
Communication problems are not billable.
Premarital counseling is not billable.

Navigating the legal and ethical issues surrounding couple therapy and insurance is complex.  If you have questions about your particular situation please contact the office.

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