My fee is $220 for a 50-minute clinical hour, and $330 for an 80-minute session. The Q&A phone call for a new client is free of charge. The first 10 minutes of any phone call for established clients is also free; calls lasting longer than that are billed at the pro-rated $220 fee.
I require 24-hour notice of appointment cancellation or rescheduling, except in case of emergency; if less than 24-hour notice is given, or if you fail to attend a scheduled session, the full fee will be charged to the credit card you have on file.
I get that it can be scary to think about spending your hard-earned money on therapy for yourself. Not only are you paying for it, but you’re investing your time as well, and we all know time is precious!
That’s why I give you so much information on this site, and why I offer a free consultation phone call.
I want you to be sure we’re a good fit before you pay me a dime!
It’s important for you to believe that I understand you, and also have confidence that I can help you get from where you are now to where you want to be. Then, and only then, will you pay me.
I believe in over-delivering for my clients, and here are some of the ways I do that:
- Appointments Usually Available Within a Week
- Personalized Client Portal
- 24/7 Online Scheduling
- Secure Messaging Through the Portal
- Secure Payments Using Your Preferred Card
- Automatic Appointment Reminders
- Superbills for Out-of-Network Reimbursement
- Coordination of Care with Other Providers (as appropriate)
- Referrals to Other Clinicians (as needed)
- Personalized Resources and Homework Assignments after Most Sessions
PAYMENT & INSURANCE
When you make your first appointment, you’ll be asked to give credit card information. I’ll charge that card for each session, unless we make other arrangements.
Many clients ask about using health insurance to pay for their therapy, and wonder why I am not on any insurance panels. Here is my reasoning, briefly. I’ll be happy to discuss it further with you at any time.
- In order for insurance to reimburse for counseling, you need to be diagnosed with a mental illness. Many clients, for obvious reasons, don’t want a mental illness diagnosis in their health records. Most of my clients are not mentally ill, just unhappy and unfulfilled in their lives and relationships. Couples therapy and grief therapy, two of the primary reasons people come to therapy, are not reimbursable.
- A diagnosed mental illness can interfere with your life in ways you never imagined. It can create problems getting future health or life insurance, get in the way of being approved for security clearances, sway judges in child-custody hearings, to name a few. By not taking reimbursement from insurance companies, I am not forced to label my clients; I simply treat the problems they bring to me, without a diagnosis.
- Insurance companies require me to submit treatment plans and progress updates frequently, often every 4-6 sessions. This is usually done over the phone, and confidential personal and clinical information is usually required. I have absolutely no idea who is on the other end of those calls, what their qualifications are, or if they abide by a code of ethics which holds client confidentiality sacrosanct, as I do. In addition, that information goes into the insurance company’s database, and is theoretically available to anyone with the appropriate passwords. Therefore, my clients’ clinical information would be potentially unprotected. This makes me very uncomfortable.
- Because I don’t take money from insurance companies, your confidential information can be found in one place and only one place…my locked file cabinet in my locked office. I am the only one with access to it, unless and until you authorize someone else.
- If my treatment plans and your progress are deemed acceptable, the insurance company will authorize a few more visits within a certain time-frame, after which I have to go through the entire process again.
- Insurance companies rarely if ever reimburse a therapist’s full fee, and often reimburse at a ridiculously low rate. It therefore becomes difficult for me to pay my bills or realize a profit. Imagine being expected to work on very important and complex projects for significantly less than your actual salary.
- Finally, insurance companies are often very late in paying benefits, sometimes holding checks for weeks or months. That would be like your employer sitting on your paychecks; how would you feed your family & pay your bills?
I hope this helps you understand why I’m not a member of any insurance panels. Here is your option regarding insurance payment, if you are still interested in pursuing it. Many plans have out-of-network benefits, and I will be happy to give you the form to submit for reimbursement. Keep in mind that I will still have to give you a mental disorder diagnosis, which will still be part of your permanent health record. You will pay me directly and will then be reimbursed by your insurance carrier according to the terms of your plan.
Please talk to me with any questions or concerns you have about any of this. I’m happy to spend as much time as we need to find a solution that works for both of us.