Insurance and Fees

Insurance

I am currently in network with the following insurances:

Aetna

Providence

Moda

United/Optum

PacificSource

Insurance can feel overwhelming, and every plan is different. To support you, I’ve partnered with a professional medical biller who can verify your benefits and provide an estimate of your costs. Please note that estimates are not a guarantee of coverage. Co-pays are due at the start of each session, and some plans may require you to meet a deductible before therapy is covered. Ultimately, you are responsible for knowing your insurance benefits and any out-of-pocket expenses.

Out of Network

Even if I am not in-network with your insurance, you may still have out-of-network benefits available. In these situations, you pay for your session directly, and I will provide a superbill (a detailed receipt) to submit to your insurance. Because coverage and reimbursement vary by plan, I encourage you to check with your insurance provider. If navigating this feels overwhelming, I’d be happy to connect you with my professional medical biller, who can check your benefits and help you understand your options.

Fees

I charge a private pay rate of $180 per 55-minute session.

Intake appointments require additional documentation time; therefore, they are charged at a rate of $225.

Sliding scale may be available upon request. Please inquire if you are interested!

Understanding the No Surprises Act and Your Therapeutic Care

The No Surprises Act is a federal law that protects clients from unexpected medical bills, including in mental health care. Here’s what this means for you as a client in my practice:

When you have insurance

  • If you are using your insurance benefits, you cannot be balance billed or receive “surprise bills” for covered services provided by in-network clinicians.

  • Balance billing happens when an out-of-network provider bills you for the difference between what your plan pays and the provider’s full fee. This is not permitted for emergency services or for most services provided by in-network facilities.

  • You are only responsible for your plan’s standard cost-sharing amounts (such as copayments, coinsurance, and deductibles).

When you do not use insurance (self-pay)

  • If you do not have insurance, or if you choose not to use your insurance, you are entitled to a Good Faith Estimate (GFE) of the cost of your care.

  • A GFE is a written notice that outlines the expected charges for therapy services before you begin. You may also request one at any time.

  • If you receive a bill that is $400 or more above your Good Faith Estimate, you have the right to dispute the bill through the federal dispute resolution process.

Your protections under the law

  • You are never required to waive your protections against surprise or balance billing.

  • You can always choose an in-network provider if available under your plan.

  • Emergency services must be covered without prior authorization and at in-network cost-sharing amounts, even if provided by an out-of-network provider.

Resources

For more information about your rights under the No Surprises Act, visit www.cms.gov/nosurprises or call 1-800-985-3059.

If you are in Oregon, you may also visit the Division of Financial Regulation’s Surprise Billing Information page or call 1-888-877-4894.