Rates & Insurance Information

First Time Clients:

Developing a therapeutic alliance and “good fit” is one of the most important parts of the counseling process. Our Client Care Coordinator will connect with you to get information about your needs for therapy. Based on the information you provide, you will be matched with a therapist and be scheduled for a 10 minute “Meet-and-Greet” phone call to get acquainted and have any additional questions answered. If you and the therapist both feel it is a good fit, they will schedule your first session.

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Good Faith Estimate:

As of January 1, 2022: You have the right to receive a “Good Faith Estimate” explaining how much your medical 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 related costs like medical tests, prescription drugs, equipment, and hospital fees.
  • Make sure your health care 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

Our rates are clearly published below. You can verbally discuss estimates upon your first phone call or session with your therapist, as well as ask any questions during intake with our Intake Coordinator. We cannot guarantee any specific outcomes in a certain number of sessions, but we can certainly discuss the frequency and related fees, as well as your presenting concerns. We will provide you with your written estimate prior to your first session.

Rates:

Below is a list of our therapist’s current rates and services:​

Melanie Reese:

  • 50 min (1 hr) Therapy Session: $195
  • 80 min (2 hr) ExtendedTherapy Session: $390
  • 100 min (3 Hr) Extended Therapy Session: $585
  • Individual Supervision for Licensure: $85 per clinical hour
  • Group Supervision and Consultation: $25 per clinical hour

Sara Combos:

  • 50 min Therapy Session: $125
  • 80 min Therapy Session: $190

Sarah Fisher:

  • 50 min Therapy Session: $125
  • 80 min Therapy Session: $190

Victoria Herrera:

  • 50 min Therapy Session: $125
  • 80 min Therapy Session: $190

Katelyn Walter:

  • 50 min Therapy Session: $125
  • 80 min Therapy Session: $190

Michelle Winer:

  • 50 min Therapy Session: $145
  • 80 min Therapy Session: $215

*Phone calls, Assessments, Letter Writing, Consultation with Providers, etc are billed by the clinicians hourly rate in 15 min increments (Hourly rate divided by 4).

*All rates apply to Telehealth Sessions

Reduced Fee Sessions:

Limited spaces for reduced fees are offered to those that need financial assistance, with priority given to those in marginalized communities. This is one way we strive to make mental health accessible for everyone. When available, reduced fees are offered to those who are serious about engaging in the therapy process and beginning the self work involved. We believe that every willing person deserves this opportunity, please speak with your therapist if you are interested in a reduced fee. If you are offered a reduced rate and cancel/reschedule 3 times, you will be asked to pay the full rate so that a reduced rate slot can be offered to someone on the waiting list.

Payment:

At your first session a credit/debit/HSA card will be placed on file through Ivy Pay or Square, depending on the practitioner. Both are HIPAA compliant payment applications designed to process payments with clients at the touch of a button. This saves time in session and keeps your information secure and confidential. We do not accept checks or bill 3rd party providers.

Cancellation Policy:

If you do not show up for your scheduled appointment, and you have not notified your therapist at least 24 hours in advance for any cancellation, you will be required to pay the full cost of the session.

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Insurance:

Services may be covered in part by your health insurance or employee benefit plan. We do not accept insurance but can provide a receipt for sessions that you may file on your own. Please check with your insurance provider to see if they cover “out of network” providers. If so, you may use the session receipt after your session to file a claim.

Why our providers do not accept Insurance:

  • Reduced Ability to Choose: Most health care plans today (insurance, PPO, HMO, etc.) offer little coverage and/or reimbursement for mental health services. Most HMOs and PPOs require “preauthorization” before you can receive services. This means you must call the company and justify why you are seeking therapeutic services in order for you to receive reimbursement. The insurance representative, who may or may not be a mental health professional, will decide whether services will be allowed. If authorization is given, you are often restricted to seeing the providers on the insurance company’s list. Reimbursement is reduced if you choose someone who is not on the contracted list; consequently, your choice of providers is often significantly restricted.
  • Pre-Authorization and Reduced Confidentiality: Insurance typically authorizes several therapy sessions at a time. When these sessions are finished, your therapist must justify the need for continued services. Sometimes additional sessions are not authorized, leading to an end of the therapeutic relationship even if therapeutic goals are not completely met. Your insurance company may require additional clinical information that is confidential in order to approve or justify a continuation of services. Confidentiality cannot be assured or guaranteed when an insurance company requires information to approve continued services. Even if the therapist justifies the need for ongoing services, your insurance company may decline services. Your insurance company dictates if treatment will or will not be covered. Note: Personal information might be added to national medical information data banks regarding treatment.
  • Negative Impacts of a Psychiatric Diagnosis: Insurance companies require clinicians to give a mental health diagnosis (i.e., “major depression” or “obsessive-compulsive disorder”) for reimbursement. Psychiatric diagnoses may negatively impact you in the following ways:
  1. Denial of insurance when applying for disability or life insurance;
  2. Company (mis)control of information when claims are processed;
  3. Loss of confidentiality due to the increased number of persons handling claims;
  4. Loss of employment and/or repercussions of a diagnosis in situations where you may be required to reveal a mental health disorder diagnosis on your record. This includes but is not limited to: applying for a job, financial aid, and/or concealed weapons permits.
  5. A psychiatric diagnosis can be brought into a court case (ie: divorce court, family law, criminal, etc.).

It is also important to note that some psychiatric diagnoses are not eligible for reimbursement. Consulting with me on non-psychiatric issues that are important to you that aren’t billable by insurance, such as learning how to cope with life changes, gaining more effective communication techniques for your relationships, increasing personal insight, and developing healthy new skills.

After reading our position on why we do not accept health insurance, you still may decide to use your health insurance. If you provide us with a list of therapists on your insurance provider list, we will do our best to recommend a therapist for you.

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