First Time Clients:
Developing a therapeutic alliance and “good fit” is one of the most important parts of the counseling process. I offer a brief initial phone consultation free of charge while you are trying to find the right therapist.
I strive to provide affordable options for those that seek therapeutic services in Davidson County and the surrounding areas. Below is a list of my current rates and services:
Melanie Reese, LMFT:
- 50 min Talk Therapy Session: $150
- 80 min Talk Therapy Session: $220
- ESA Evaluation: $150
- Assessments, Letter Writing and Consultations with practitioners: Hourly rate in 15 min increments: 15 min = $37.50
- 50 min Talk Therapy Session: $125
- 80 min Talk Therapy Session: $200
*All rates apply to Telehealth Sessions
Reduced Fee Sessions:
A reduced fee is available to those that need financial assistance when seeing a Master’s Level Clinical Intern. A reduced fee of $60.00 is offered to those who are serious about engaging in counseling and beginning the self work involved. I believe that every willing person deserves this opportunity. 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.
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 HIPPAA 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. I do not accept checks.
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.
Services may be covered in part by your health insurance or employee benefit plan. I do not accept insurance but I 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 I give you after your session to file a claim.
Why I do not take 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:
- Denial of insurance when applying for disability or life insurance;
- Company (mis)control of information when claims are processed;
- Loss of confidentiality due to the increased number of persons handling claims;
- 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.
- 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 my position on why I don’t accept health insurance, you still may decide to use your health insurance. If you provide me with a list of therapists on your insurance provider list, I will do my best to recommend a therapist for you.