Pricing, Insurance & FAQsPricing for private pay
Individual Counseling
Payment is due at the beginning of the session. Initial session includes biopsychosocial assessment & diagnosis. If you plan to utilize insurance benefits, please see more information below. You will be responsible for all co-pay and co-insurance costs.
Initial session $250, ongoing sessions $200
Gender affirming services
The sliding scale and pro bono access is available to minimize gatekeeping and prioritizes those with marginalized identities who may not otherwise have full access to these services. The fee for follow-up 30 minute sessions is $50. You can expect the assessment process to take 1-3 sessions, depending on your circumstances.
You do not need to be an existing client or intend to continue services after the letter is complete to access this service. This service does not require a consult, though we are happy to provide one if you have questions about the process.
Sliding scale, $50-150. We currently offer one pro-bono (free) letter per month
resource gathering & Letter writing
This service will always be at your discretion, unless required by your insurance company. We will agree on the task you’d like completed and an estimate for the amount of time it will require prior to receiving any charge. If requested, we can provide an itemized accounting of the time spent performing this service.
$50 for every 15 minutes spent
insurance
Insurances Accepted
We are currently in network with Oregon Health Plan (OHP) Medicaid, Providence, Regence BCBS, and MODA.
If we are not currently in-network with your provider, we may be able to pursue a single-case agreement for our services to be approved by your insurance.
We are also able to provide a superbill if we not an in-network provider. This means that you would directly pay us the full session fee and we would provide documentation you can send to your insurance provider to be reimbursed.
Out of pocket costs
You are responsible for any co-pays or co-insurance, or costs of treatment prior to your deductable being met. We will charge the credit card on file at the time of service to collect these fees.
A superbill is an invoice that details services provided to a client. You can submit a superbill to your insurance for reimbursement. A superbill does not guarantee that you will be reimbursed. We are not responsible or liable for any superbills that are not reimbursed by your health insurance.
It is a client’s responsibility to be informed about their benefits. If you’re not sure how to get this information, check our our FAQs below.
Reach out!
If you have questions about any of these insurance or pricing options please reach out, I am happy to talk about this further in a free 15 minute consultation.
FAQs
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We accept all major credit cards, debit cards, and FSA (Flexible Spending Account) or HSA (Health Savings Account). Payment will be collected through a HIPAA compliant client portal. We also accept Venmo and Zelle.
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CALL THE NUMBER ON THE BACK OF YOUR INSURANCE CARD.
*What’s my deductible for in-network mental health benefits?
*Is there a limit on sessions your plan will cover per year? If Yes, How many?
*How much is your co-payment for mental health services?
*What is the policy year (i.e. Jan 1 – Dec 31)?
*Does your plan require pre-authorization for psychotherapy?
*Do I have out-of-network mental health benefits? If so, what is the difference in the amount paid or percent reimbursement for "in network" vs. "out of network" providers?
If your insurance company asks for information about CPT codes your provider uses, you can provide the following: 90791 (diagnostic evaluation), 90837 (psychotherapy, 60 minutes), 90834 (psychotherapy, 45 minutes), & 90839 (psychotherapy for crisis).
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You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.
Under the No Surprises Act, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.
More details here.
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When you schedule a session, that time is reserved for you and unavailable to others. I require a 24 hour cancellation notice for all scheduled appointments. If you are unable to provide 24 hours notice to miss a meeting, you will be charged a fee of $80. Exceptions to this policy may be made in emergent circumstances. Per law, individuals covered by Medicaid will not be charged a cancellation fee.
If you do not join our session on time and have not communicated that you will be late, 15 minutes after our start time it will be considered a missed session and you will be charged the no show fee. If you may be late to our session, please text or call your provider to give us a heads up.
If you miss 3 sessions without giving 24 hours notice and you have a recurring time slot, we will likely need to offer this slot to others to ensure equitable access. If this happens, we will discuss a plan to ensure you are still able to receive the timely care you need.
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Some insurances allow providers to request a Single Case Agreement (SCA), meaning that they will reimburse a provider who is not credentialed with them or a specific patient. The processing time for the authorization differs by insurance companies, but we will give you a timeline and provide updates ASAP. Generally, to request this we will need your legal name, date of birth, and a copy of the front and back of your insurance card.
Your insurance may also be able to be reimburse you for services provided by an out-of-network provider. This means that you would pay Inner Spark Therapy our full fee at the time of the service, and your provider will send you a “superbill” that you will send to your insurance to request reimbursement.
If you are unsure about the availability of SCA or superbills with your insurance, call the number on the back of your card. Please reference the questions to ask your insurance company above in the second question in this FAQ section.