Quote of the moment:

Life is what happens to you while you’re busy making other plans. - John Lennon

 

Paying for Therapy

I offer an initial phone consultation at no charge. The purpose of this consultation is to determine your needs, whether we are a good match, and whether your needs fit within my scope of practice and expertise. If your needs are outside my specialty area(s), I'll be happy to refer you to a qualified provider.

After the initial consultation, if we agree to work together, my current rate is $110 per 50-minute session. Cash and checks are accepted, or we may arrange a credit card payment. Most clients prefer a "pay as you go" policy, and pay for each individual session at the time of service.I also offer a sliding scale based on income and extraordinary expenses.

Insurance

Using health insurance to pay for therapy can definitely save clients money. If you are interested in using health insurance to pay for therapy sessions, please let me know. If I am included in the provider network for your plan, then I can bill them directly for the services and you will be responsible only for the co-payment specified in your plan. If your plan covers out-of-network mental health care, then I will provide a monthly statement that you can submit to your insurance provider for reimbursement, to the extent to which they cover mental health treatment.

Asking insurance companies to pay for therapy can impose certain conditions. These can include:

  • Requiring pre-authorization for services, at the beginning of treatment and over the lifetime of working together. Usually this is not insurmountable; it may impose slight delays until the authorization is obtained.
  • Paying only for a certain number of sessions. Usually the number of sessions covered is dependent on the diagnosis under which the treatment is being reported.
  • Adding a diagnosis code to your permanent medical record for a mental health-related condition. This can have consequences such as impairing your ability to get health insurance or life insurance coverage in the future.
  • Requiring me to release copies of confidential information from your therapy medical records to the insurance carrier, in order for payment to be made.
  • Insurance companies do not pay for missed sessions. For any session that is missed without prior notification, except for emergencies, the full fee must be paid directly by the client.
  • In rare cases, getting payment from insurance companies (such as Workman’s Comp) can require a client to take legal action, which means that parts of your medical record may become a part of the court record.
  • Obtaining payment from insurance companies may involve electronic billing. In all situations, I am fully HIPPAA compliant, which includes using appropriate security measures when using electronic communications that include confidential client information. Nonetheless, some clients are not comfortable with electronic transmission of their medical information.

If you would like to use insurance and are not sure when or if these situations might apply to your specific situation, please feel free to give me a call to discuss this in detail. Using insurance can be very helpful in obtaining mental health care; I present this information only in the interest of helping potential client to make an informed decision about its benefits and consequences.

If you are considering therapy, but are concerned about the cost or about using insurance, please call me. I will be happy to discuss in detail the pros and cons of using insurance to cover therapy sessions, and any other financial concerns you may have. It may be possible to reach a private-pay agreement that is affordable for you by establishing a reduced fee based on your income and any extraordinary expenses. In some cases it may also be appropriate to meet less frequently than weekly; or for short-term therapy involving a pre-determined number of sessions. If we are unable to find a mutually agreeable fee and schedule for therapy, I will be happy to give you referrals to other resources, or to help you to locate an alternative provider.

Trainings and Development

Training programs vary in cost based on the length of training program, from a one-hour course to multiple-days, and on the specific needs of your business. My rates are very competitive.

Please contact me for a free consultation and pricing details based on your specific training needs.

Supervision and Consultation

My fee for Consultation is $100 / hour. For ongoing supervision, I would be happy to develop a quote based on frequency, situation, and expertise demanded.

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© 2005 Cal J. Domingue, All rights reserved