Individual Counseling Appointments

Information about the kinds of clients I see and appointment logistics

 

Insurance and Fees

When you contact me, I'm glad to offer a short phone consultation. We'll be able to briefly get acquainted, discuss the issues and perspectives you bring, and address any questions you have. It takes a lot of courage to reach out for help and I'm always happy to talk to people, even just to answer questions about what counseling might be like.

 

FEES:

Individual counseling session: $175

INSURANCE: 

As I am seeing clients via telehealth this may impact coverage for both in-network and out of network claims. While most insurance plans cover video sessions for mental health, some outsource this to national companies like Talkspace and claims with me would be denied and you would be responsible for the full amount. When you check with the insurance company they will most likely know what telehealth for mental health means, but if not, the language is “CPT code 90837 with a video or phone session.”

I am an in-network provider with Blue Cross/Blue Shield and First Choice.

If your insurance company is not listed above, many insurers will still cover your sessions with me in part or in full.  I’ve seen some great reimbursement rates so don’t be discouraged just yet! Check to see what your out-of-network reimbursement is for an outpatient mental health office visit. Specifically, it will be helpful to ask what your responsibility would be for code 90837 via telehealth. After I've collected payment from you I will give you a form called a Superbill that you can submit to your insurance for reimbursement. I do not submit claims for any out of network insurers and am not able to make single-case agreements with insurers. I am able to accept Visa and Mastercard HSA/FSA cards for payment.

 

YOU ARE RESPONSIBLE FOR KNOWING THESE ITEMS:

To find out more about your mental health coverage here is a list of questions you can ask your insurance company. 

  • Is tele-mental health (aka telemedicine aka telehealth) covered by my plan?

  • Do I need a preauthorization to access outpatient mental health services?

  • Does my insurance cover out of network providers? 

  • How many sessions are covered per year?

  • What is the coverage amount per therapy session? (code 90837 via telehealth)

  • Do I need a referral/approval from my primary care physician?

  • What is my deductible and will I have to pay into it before mental health is covered?

 

OTHER POLICIES:

Cancellation Policy:  If you miss a session without canceling, or if you cancel with less than 24 hours notice, you are responsible for paying the full billed fee for that session.  An exception to this 24-notice is in case of sudden emergency or unforeseen illness that prevents you from engaging in therapy fully.  This is not meant to be punitive but to establish clear and respectful expectations for our time together.

GOOD FAITH ESTIMATE

You may be hearing from other health care providers about new legislation (Section 2799B-6 of the Public Health Service Act) which requires a Good Faith Estimate. Washington code (WAC 246-809-710) already requires me to disclose much of what is in this new legislation. In addition, I am already in a class of providers that is ethically bound to make my fees and estimated course of treatment transparent at the start of our working relationship.

I am now 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 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.

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost and the potential course of treatment.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises