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Insurance & session cost

Below are the private insurances I am credentialed with. However, some plans I am out of network with. The only way to find out is for me to verify your benefits listed on your card. Keep in mind- large insurance companies sometimes will use what is called a "third party administrator" to help process their claims & manage benefits; your insurance card may say something like [UMR, HMA] but it may be billed through one of the insurances listed below. Check your benefits because you could still be in network :)

Aetna

Premera BlueCross

Regence BlueShield

Cigna

United Healthcare

/UMR

Anthem BlueCross

of CA

Ocean View

What is the cost of therapy?

Insurance plans work in one of two ways: 

 

 

1. Contract year plan. This means your plan begins and ends on a date you initiated coverage, and can be anywhere throughout the year. For example, it could begin October 1st and end September 30th of the following year. 

 

2. Calendar year plan. These plans always begin on January 1st and end on December 31st. 

 

 

What is a deductible

 

A deductible is what you will need to pay before the insurance company will start contributing to your medical bills. Deductibles can be anywhere from $0 to $10,000. Typically, deductibles apply every calendar year. This means that between January and December, your healthcare bills would need to exceed your deductible before the insurance company would start paying, excluding copays, coinsurance, and non-covered expenses. 

 

Why does this matter? It matters because as January 1st approaches, if you’re on a calendar year insurance plan, your deductible will reset (go back to zero) and you will have to pay out of pocket for each session to reach your deductible until insurance will begin kicking in coverage for sessions (including reducing your out of pocket expense down to the copay or coinsurance). 

The best way for you to find out what kind of plan you have is to call your insurance company (see the phone number on the back of your card).

Not utilizing insurance?

Self-pay cost:

Intake: $160

Standard (53-60 min): $150

Let's talk about cancellation fees

Many therapists have policies around canceling or rescheduling appointments, and often these policies include charging a fee for a missed or late cancelled appointment. There are many reasons for this, including but not limited to:

  1. A no-show or late cancellation fee encourages clients to let us know as soon as possible if they do not need their appointment slot, so we can potentially offer it to someone else.

  2. Many therapists are paid based on the revenue we generate, so if you do not keep your appointment, they lose income. We have bills too!

  3. Some organizations/insurances have policies for late cancellation and no-show fees that the therapist has no say in.

  4. It represents the value of the professional’s time and any energy that went into preparing for the appointment.

  5. If you re-schedule for later in the same week- I do not consider it a late-cancellation since you will still be seen. 

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