Fees

What Does It Cost?

My fee is $225 for a fifty minute session or $360 for an eighty minute session. I send an invoice via email to be paid in advance of the session.

Good faith estimate of charges: The total amount you will spend on therapy is dependent on how many sessions you decide to schedule. I do not require a number of sessions and cannot anticipate how many you will feel you need to reach your goals of relationship improvement. You are entitled to, and I am happy to funish upon request, a good faith estimate of charges.

I recommend:
80 minute first session for couples, unless everything but sex is working great in your relationship.
50 minute session for couples who are only struggling with sex or for ongoing appointments.

 

Payment is due before each session unless different arrangements have been made so that we can use the full session hour for counseling.

Sessions include: telephone calls, consults, requested reports and consultations with other professionals. These will be charged on a prorated basis.

Time spent in any way on legal proceedings is billed at five hundred dollars ($500) per hour.

Frequently Asked

Can I use insurance?

I am a cash only practice. I do not work with any insurance as an out of network or in network provider. If you require a statement of proof of services, I can provide one for you. I do not provide additional information to insurance companies such as W-9s, complete out of network provider approval forms, or provide clinical reviews or superbills.

Insurance doesn’t generally cover couples’ counseling anyway.

If your insurance company tells you that they do indeed cover couples therapy, they are referring to the situation where one person’s mental illness is what is being treated in therapy, and the partner is only present in support of the treatment of that condition. Insurance only pays for “medically necessary treatment” of a mental health disorder, such as Major Depressive Disorder or Generalized Anxiety Disorder.

In this situation, one person, the “identified patient,” is officially diagnosed with a mental illness, and the treatment needs to focus solely on this diagnosis. This diagnosis is sent to the insurance company where it becomes part of the patient’s permanent medical record. Also, only the identified patient is technically a client, and thus has a right to a duty of care, confidentiality, and access to the session notes. The other partner is not a client and would be there only in support and as “collateral” to the treatment of the patient’s condition, with none of the rights afforded a patient.

But in couples counseling, people are seeking help with communication, conflict, emotional connection, sexual intimacy, parenting, and more. These issues are not for “medically necessary” treatment of a mental illness. Both people are the focus of treatment, as is the couple as a unit. Billing insurance as if the couples’ sessions are treating just one individual is considered insurance fraud.

Do you offer reduced fees?
FINANCIAL HARDSHIP SPACES AVAILABLE UNAVAILABLE AT THIS TIME:
  • I maintain a limited number of appointments at a reduced rate for clients who meet the criteria for financial hardship.
  • If your household has an income less than $45,000 per year (adjusted upwards by $5000 per year per child in the household) AND you do not have insurance coverage that would reimburse you for counseling services, you may request the financial hardship rate ($90 for 50 minutes and $145 for 80 minutes).
  • These slots are given on a first come, first served basis and must be arranged in advance.
  • In order to serve the most clients possible, if you miss two appointments without prior arrangement, your financial hardship slot can be forfeited and given to someone else.
What forms of payment do you take?

I send invoices which can be paid with any credit or debit card, as well as HSA cards.

What is your cancellation policy?
If you miss a scheduled session with less than forty-eight hour notice or if you arrive at a couple’s session without your partner without prior arrangement, you will be charged for that session unless we can schedule that appointment within the same week. This does not include weekends.  Exceptions may be made, at my discretion, for emergencies. Appointment reminders are sent as a courtesy; it is still your duty to keep track of your appointments. Failure to receive a reminder is not grounds for not keeping an appointment.
How do we pay for online sessions?
Payment, via electronic invoice, must be completed 48 hours prior to the beginning of the online therapy session. In addition, full session fees apply despite any technical difficulties that may arise.

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