Insurance, Payment, and Fees
FAQs
Q. Do you take my insurance?
I am in the process of getting credentialled through Alma. I expect to be paneled by end of June at the latest. Once this is complete, I will be in-network with Cigna and Aetna.
Q. Can I work with you if you don’t take my insurance?
Yes! I am considered an Out-of-Network (OON) Provider for all insurance providers. I encourage all clients to check with their insurance provider before scheduling your first appointment to find out the details regarding your specific OON benefits for your plan. Many people do not understand how out-of-network reimbursement works, but it does not have to be complicated or limit your choices in selecting a therapist that is right for your and your current needs.
Q. What are out of network benefits?
It’s important to understand that in order to be eligible for OON reimbursement for your counseling services through your insurance company, you will need to have a diagnosed mental health disorder. This applies to all therapy services, whether IN or OUT of network if submitting for any type of reimbursement. If you meet criteria for a mental health diagnosis and you would like to seek OON reimbursement for therapy, I can provide you with a monthly document called a Superbill, which you will submit for reimbursement.
Q. What’s a Superbill?
Many health insurance companies offer OON benefits to their members. This means you pay for your counseling services at the time of service and then submit a document called a Superbill (generated monthly) to your insurance company for reimbursement. A Superbill provides date of service, proof of payment, and required diagnostic and service codes.
EXAMPLE: Let's say your insurance reimburses 80% for OON services once deductible is met. You would pay $150 at time of services and your OON reimbursement of $120 would be paid directly to you by your insurance, leaving the actual cost to you at $30/session.
Q. What is Paying Out of Pocket?
Many client choose to pay out of pocket for services because it provides us the freedom to explore your concerns without interference from your insurance company. You also do not need a mental health diagnosis or to prove medical necessity for reimbursement.
Issues such as life after divorce, career pivots, stress reduction, grief and loss, and relationship challenges do not meet criteria for mental health disorders or medical necessity. In addition, some people prefer to keep their mental health private and not on their medical record. Working privately affords you a higher degree of confidentiality.
Bottom line: paying privately empowers you to choose the therapist that’s the right fit for you and your needs, not just a therapist off some super long insurance list. This is an important variable to consider when seeking support.
Payment Options
Payment is accepted in the form of credit card (including HSA cards) through the Alma Client portal. All clients are enrolled in autopay and I do not accept cash/checks/cashiers checks. You are responsible for full payment at the time of services regardless of out-of-network or insurance benefits.
Private Pay Fees
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The initial interview session is a time to collect information and begin developing a treatment plan that will work for you. It can feel like the great inquisition and is not what a therapy session will feel like, but it is very important and gives both parties an opportunity to set realistic expectations and decide if we are a good therapeutic match.
This is non-refundable, even if we decide we are not a good fit. In the case where we are not a good match, I will try to provide referrals to providers who may be able to better meet your needs.
$150
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This is where the magic happens! I love working with clients who are ready to feel better! Sessions will be focused on what is most important in the present moment and identified treatment goals, while also engaging in a variety of counseling interventions including art therapy, Emotional Freedom Technique (EFT), Eye Movement Desensitization and Reprocessing (EMDR), IFS Therapy, and a variety of mindfulness techniques.
$150
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Item description
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I often run seasonal online and in-person (local to Northeast Ohio) on a variety of topics related to midlife mental health and creativity. More to come soon!
Price Varies
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If your needs are not mental health related and you feel you’d be better served within a coaching context, I offer coaching for midlife women through a separate company HERE. Not sure which is better, schedule a free 15 minute call and we can discuss the options available.