Photo by Lucy P. Dickinson
Individual therapy: $130 (45 min.)
Extended individual therapy: $140 (55+ min.)
Family, marital/couple therapy: $160 (55-60 min.)
Initial intake session: $180 (60 min.)
Mediation and Discernment Counseling:
$260 (90 mins); $350 (2 hrs)
Clinical supervision/consultation: $120 (60 min.)
on ,inFinancial Commitment
Therapy can be a significant financial commitment. I understand and respect that you need to be comfortable with the fee in order to commit to the work that you want to do. I feel it can be well worth the financial commitment but you should feel comfortable with that. After getting to know you and your needs, I can give you a general idea of what I recommend, but often we cannot estimate how many sessions you may need, until we are well into the work. Generally I prefer to work with people only as long as the process is beneficial towards their goals, and usually I work with people weekly or every two weeks in order to solidify gains that are made.
I accept co-pays or full payments for services by cash, personal check, credit cards or HSA accounts. For credit card payments, I input the information needed into my secure client portal associated with my practice management software (Simple Practice), and if you approve, auto pay may be used for ease of payment. Invoices, statements and superbills are sent to you through that secure system. I collect payment at the time of service, unless we agree otherwise.
Reduced Fee Offer
Given that therapy can be a big financial commitment, and though I believe it can be worth it, I also know that the expense is not possible for everyone, and therefore I dedicate some of my practice to reduced fee. Please inquire about this offer.
I am considered an “out-of-network provider,” and most insurance plans will offer some reimbursement for individual and/or family therapy (usually 50-90%), if the treatment is determined to be “medically necessary” to treat the condition or diagnosis of one person. In this case, if you wish to seek reimbursement, I collect the full fee at the time of service, and can provide you with a receipt (“superbill”) for the session and you can forward that to your insurance company so that they can reimburse you.
Couple Therapy Commitment
With couples therapy, I generally suggest at least a 6 month commitment to work towards relationship goals. This allows both partners to feel secure enough to engage in the step by step process. I am positive about relationships, and think that couples can work to re-connect and to heal, if that is what they want to do. Even if they do not stay together, full engagement in couples therapy may help people bring new insights, knowledge and openness about themselves and others to their next relationship. Of course, the outcome cannot be predicted or promised, though Emotionally Focused Couple Therapy research has shown that approximately 90% of couples show significant improvement and 70-75% of couples move from distress to recovery.
Couple Therapy and Insurance
In couple therapy, the couple is the “client”, and for billing, I typically use the relational code that is appropriate for couple therapy: “Z63.0: problems in relationship with spouse or partner.” You are welcome to check with your insurance whether they cover couple therapy with an “out of network” provider, using CPT codes 90791 (evaluation) 90847/90846 (family/couple therapy) and the relational/diagnostic code Z63.0, and if they do, I could provide you with a receipt or “superbill” to submit to the insurance company on a monthly basis for reimbursement to you.
In some cases, a couple may seek to use their “out of network” insurance benefits to cover couple therapy sessions to treat a mental health diagnosis in one of the partners. Insurance may pay a percentage of the fee, in some cases up to 90%. In this case, “medical necessity criteria” would need to be met in order to treat that specific mental health diagnosis with relational therapy. In this case, the diagnosis would be assessed at the first session, and if relational therapy is recommended, a receipt or superbill would be provided on a monthly basis to the client to submit to their insurance company for reimbursement. Please note that I do not provide a superbill for discernment counseling or mediation, as these are not covered by insurance.
11711 SE 8th St., Suite 315
Bellevue, WA 98005