Frequently asked questions
Do you offer telehealth/online therapy? And are my sessions confidential?
Yes, we only offer online (telehealth) therapy sessions. This is done through a private, safe, and secure online platform, which is HIPAA-compliant. In addition, therapists ensure they are in a private and confidential location to provide you with privacy. Therapists cannot guarantee confidentiality from your location and it will be up to you to ensure you are in a private location.
Exceptions to confidentiality:
- If a client threatens or attempts to commit suicide or other grave bodily harm;
- If a client threatens grave bodily harm or death to another person;
- If there is a reasonable suspicion of neglect, abuse, or abandonment to children under the age of 18 years old;
- If there is a reasonable suspicion of neglect, abuse, or abandonment of an elderly person;
- If there is a reasonable suspicion of neglect, abuse, or abandonment of anyone unable to care for themselves;
- If a court of law issues a legitimate subpoena;
- If a client is in therapy by order of a court of law
What are the benefits of online therapy?
Online (telehealth) therapy is shown to be as effective as face-to-face counseling sessions. Here are a few other benefits:
- Convenience. Attend therapy from home, work, car, or anywhere you feel comfortable. Cut down on driving time and the extra gas expense.
- Accessibility. Therapy is easily accessible for those with medical and/or physical difficulties getting to an office. All you need is an internet connected device (computer, laptop, tablet, phone) and webcam. Note: Stable internet connection recommended.
- Availability. Those who live in remote or rural areas now have access to therapy without the need to go to the nearest big city.
How long does therapy take?
How long you continue in therapy depends on a lot of different factors.
- At first you may not feel comfortable talking to the therapist or you may feel comfortable immediately. It can sometimes take a few sessions to begin feeling comfortable enough to talk about sensitive subjects.
- Some situations are deeply rooted after years of built-up feelings, behaviors, and/or traumatic events. It may take longer to process these and some may spend years in therapy to work through everything. Those with less severe issues may find short-term therapy (2-6 months) more beneficial for them and will progress more quickly.
- You may feel like therapy is too hard, you don't want to do more than talk in session and be done, or it may bring on intense feelings which make you want to quit. These are all normal feelings! However, those who are willing to work through these feelings outside of their sessions, and are ready to implement the changes discussed will spend less time in therapy than those unwilling to put in the work.
We generally like to start with weekly sessions to give you time to become comfortable with the therapist and begin processing through your issues. The frequency of sessions are often reduced to biweekly, then monthly once you begin seeing progress.
Do you take insurance?
No, we do not accept insurance.
However, you may still be able to use out of network benefits to get reimbursed for any out-of-pocket costs.
With this option: You pay the therapist for the scheduled session, and monthly we provide you with a receipt called a superbill, which you can then submit to your insurance company. If you have mental health benefits and do not have a deductible, the insurance company will send a check to you directly for reimbursement once the claim is accepted. Please be aware that we do not have any control over your insurance company, whether they accept or decline your claim, nor the reimbursement amount.
Using out of network benefits may require a diagnosis by your insurance company. They have the right to decide your diagnosis is not covered. In addition, your insurance company may not reimburse for telehealth sessions. Please check your policy coverage with your insurance company prior to seeking reimbursement.
NOTE: Superbills are provided upon request only.
Another payment option: Use a Health Saving Account (HSA) or Flexible Spending Account (FSA), which allows you to use pre-taxed money.
Please be aware that a debit/credit card is required to be on file to schedule a session and payment is due at the time of service.
Why don't you take insurance?
The simple answer is that we want to spend more time with our clients to help them, than spend time talking with insurance companies, justifying why you should be allowed more therapy sessions, and fighting with them to pay your claims.
Many clients find that with a deductible, they need to pay close to, if not more than, the amount we charge per session. Not accepting insurance also allows those with or without insurance to have more choice in the therapist they want to see without being restricted by who is covered by their insurance company.
There are several other reasons for not accepting insurance, such as:
- Less confidentiality. At any time an insurance company can request information about your sessions in order for them to determine benefits and pay for your sessions. Due to this we cannot ensure confidentiality if we accept insurance.
- Some insurance companies make authorizing therapy sessions difficult. Therapy then becomes based on what the insurance company wishes to cover, how many sessions you will be allowed (including the decision to terminate therapy sessions whether you feel better or not), and the exact treatment plan to be followed.
- Insurance companies require an immediate diagnosis. This does not allow a therapist to get to know you and/or any issues you may be experiencing before deciding on a diagnosis. Some types of therapy, such as family counseling, parenting, or life transition issues, may not even be covered unless they are attached to a more serious diagnosis.
If I choose to submit my own insurance claims for reimbursement...
What questions should I ask my insurance company about my mental health benefits?
- Do I have mental health insurance benefits?
- Do my mental health benefits cover telehealth sessions?
- What is my deductible and has it been met?
- How many sessions per year does my health insurance cover?
- What is the reimbursement rate per therapy session?
Your insurance company may need a billing code when you call.
In most instances this is 90834 with a 95 modifier.
90834 is used for individual therapy sessions that are 45-52 minutes in duration and the 95 modifier indicates the session was a telehealth session. If your session exceeds 52 minutes, a code of 90837 will be used with the same modifier.
Do you have a reduced fee option?
Yes, we currently have limited openings for a reduced fee option through Open Path Collective. This option is available to those who have signed up with Open Path and are unable to afford current market rates for therapy sessions or for those who do not have insurance which allows for you to submit a superbill for reimbursement of therapy services.
How it works:
- Open Path requires you to register and pay a one-time fee of $59. This gives you lifetime access to their therapists.
- Search for a therapist. Andrea can be found here.
- Appointments and payments are made directly with the therapist.
Our reduced fee option is $60 per session. We ask that you inform the therapist if your situation changes and can pay the full counseling session fee, either due to higher income/budget availability or if you obtain insurance which will reimburse you for some or all of the costs. This opens up a spot for someone else with us through Open Path who would otherwise not have that available to them.
Can I get a Good Faith Estimate?
Yes! You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
- Make sure your healthcare provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
- Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.
When are consultations and sessions scheduled?
Free online consultations are scheduled for 30 minutes appointments on Fridays from 2:00 PM through 4:00 PM.
Online therapy sessions are scheduled during the online consultation for Tuesdays, Wednesdays, or Thursdays on the hour (10am, 11am, 2pm, 3pm). Each session runs from 45-50 minutes in length. Therapists prefer to schedule clients in the same day and time slots each week. For example, if you and your therapist decide that Tuesdays at 2:00 pm work best, you will have that same time slot every week.
The therapist takes 4 weeks off each year--no consultations or therapy sessions are scheduled. The weeks include: the two weeks at the end of each June/beginning of each July and the last two weeks of each year between Christmas and New Year's.
I have other questions, how can I get them answered?
If you have any other questions not answered here, please send us a message with your question(s).
I'm ready to schedule a consultation. What are my next steps?
- If you are ready to schedule an appointment, click the button below and it will bring you to scheduling.
- Choose "I'm a New Client" and follow the directions to schedule a free consultation.
- Once you have chosen a day and time, the therapist will be able to accept the appointment.
- Please make sure to complete the required documentation forms prior to the consultation.
- You will receive an email with a link to get into the therapy room at your scheduled time.
- The therapist will be online at the scheduled appointment time.
- The first counseling session can be scheduled at the end of the free consultation.
- Required documentation will be sent out and must be complete prior to the initial counseling session. You will receive reminder notifications with a link for your scheduled session appointment. A debit/credit card is required to be on file for session payments and payment will be charged immediately after each session.