Two Dried Leaves

Therapy Rates & Insurance

Fee Schedule

Payment is due at the time of service using your credit card on file unless otherwise approved or unless you have insurance coverage that requires another arrangement. We require a valid, non-expired, working credit card to remain on file at all times regardless of insurance status. 

Our fee schedule is reviewed on an annual basis. If our fees are expected to change, we will provide at least a 60-day notice to you. 

 

Please note: The following fees are effective January 1, 2022 and are listed for those who do not have insurance coverage, for those who choose to not use their insurance, or for services not covered under insurance. In addition, these fees do not reflect co-pays or deductible payments one may owe if using their health insurance benefits. 

Licensed Doctoral-Level Provider (PhD, HSPP)

  • Initial intake session: $250 

  • 55-minute therapy session (standard session): $225

  • 45-minute therapy session: $200 

  • Walk & Talk therapy session: $200

       Please note: Insurance does not cover Walk & Talk Therapy, and as such, it is considered an out-of-pocket expense.

Licensed Master's-Level Provider (MA, LMHC)

  • Initial intake session: $200

  • 55-minute therapy session (standard session): $175 

  • 45-minute therapy session: $150 

  • Walk & Talk therapy session: $150

       Please note: Insurance does not cover Walk & Talk Therapy, and as such, it is considered an out-of-pocket expense.

Master's-Level Associate Provider (MA, LMHCA)

  • Initial intake session: $125

  • 55-minute therapy session (standard session): $105 

  • 45-minute therapy session: $90 

  • Walk & Talk therapy session: $105

       Please note: Insurance does not cover Walk & Talk Therapy, and as such, it is considered an out-of-pocket expense.

Health Insurance

Our licensed psychologists (HSPP) and licensed mental health counselors (LMHC) are currently in-network providers with Anthem and Blue Cross/Blue Shield (but not EAP plans, Medicaid, or Medicare). Please note that our licensed mental health counselor associates (LMHCA) are self-pay only and are working toward becoming in-network providers with Anthem and Blue Cross/Blue Shield. 

Services may be covered in full or in part by your health insurance or employee benefit plan. Please check your coverage carefully by asking the following questions:

  • Do I have mental health insurance benefits?

  • What is my deductible and has it been met?

  • How many sessions per year does my health insurance cover?

  • What is the coverage amount per therapy session?

  • Is approval required from my primary care physician?

Please note: Despite being an in-network provider with the above insurance companies, some services - including couples therapy and teletherapy - may not be covered by health insurance as "medically necessary." As a result, these services may be considered an out-of-pocket expense and the above fees will apply and be due at the time of service. In addition, Walk & Talk Therapy is not covered by health insurance and is considered an out-of-pocket expense. 

If your therapist is not an in-network provider with your insurance carrier, you will be responsible for the full fee at the time of service. However, we are happy to provide you with a superbill that you may submit to your health insurance company. If you have out-of-network benefits, you will be reimbursed directly by the insurance company for a percentage of the fee, based on what your plan allows, if applicable. Please contact the office for more information.

Self-Pay Therapy

It is important to remember that you always have the right to pay for services yourself. Many people choose to pay for therapy out of their pocket due to the following reasons:  

  1. To ensure privacy of their information as insurance companies can request mental health diagnoses, clinical notes, or the full clinical record.

  2. To avoid working under a time-limit as some plans limit the number of sessions allowed in a calendar year.

  3. Because they do not qualify for a mental health diagnosis or do not want a medical diagnosis to be part of their medical record.

 

If you have in-network benefits and you chose to pay for our services yourself, we will ask that you sign a separate agreement indicating your choice.

All of our clinicians offer self-pay options. 

Good Faith Estimate & Surprise Billing Protection

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 health care 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. To learn more about the Patient-Provider Dispute Resolution (PPDR) process, please review this document.

  • 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 or call (317) 747-0574.

If you would like to learn more about surprise billing protection, please review the following documentDisclosure Notice Regarding Patient Protections Against Surprise Billing

Payment

All major credit cards, including FSA/HSA account cards, are accepted for payment. If you are primarily using an FSA/HSA for payment, you will also be required to keep a secondary, backup credit card on file.

Cancellation Policy

If you do not show up for your scheduled therapy appointment, and you have not notified the office at least 24 hours in advance, you will be required to pay the cancellation fee.

Once a therapy appointment hour is scheduled, you will be responsible for paying for it unless you provide 24-hours advance notice of cancellation. If you are able to to reschedule the appointment within the same week, you will not be charged for your missed appointment.

  • The first late cancellation/missed session within one calendar year is not charged, given a variety of circumstances can occur.

  • The second and subsequent late cancellation/missed sessions within a calendar year are charged the full price of the service.

 

Please refer to the Office Policies for more information.

Questions?

Please contact the office for further information.