Fee Agreement

GENERAL INFORMATION:

  • PAYMENTS FOR SERVICES ARE DUE AND SHALL BE ABLE TO BE CHARGED TO CREDIT CARD ON FILE IMMEDIATELY AFTER EACH SESSION (including session fees, copays, coinsurance, amounts applied toward deductible, and other costs or portions of costs not paid by the client’s insurance). 

  • CREDIT CARD SECURELY ON FILE WILL BE THE ASSUMED METHOD OF PAYMENT UNLESS OTHERWISE INFORMED BY THE CLIENT (payments for in-person sessions may be made via check or cash, per client’s preference; there will be a $30 service charge for any returned checks).

RATES:

  • Individual counseling, couple/family counseling, parent coaching or parent w/child counseling: $180 per 50-minute session (not applicable if court-recommended; see below)

  • Court-involved coparent coaching services:  $225 per 60-minute session (not reimbursed by insurance)

  • Court-appointed, contract-signed, reunification therapy:  $275 per 60-minute session (not reimbursed by insurance)

  • Additional minutes of counseling beyond the insurance-allowed or scheduled session time: $3 per minute supplemental charge

  • Emails, calls or texts regarding therapeutic advice/review: $3 per minute

  • Emails, calls or texts regarding scheduling: No charge

  • Illness/other cancelations with more than 24 hours' notice: No charge

  • Non-illness or other cancelations with less than 24 hours' notice: $180 (not reimbursed by insurance)

  • Sessions requested outside business hours:  Double rate (additional $180, $250, or $275, as above)

 

INSURANCE REIMBURSEMENT: 

I am a participating provider for the Blue Cross Blue Shield (BCBS) network, at least through 6/1/22.  I am adequately licensed/credentialed so clients with insurance other than BCBS can be reimbursed by insurance plans that provide for OUT OF NETWORK (OON) OUTPATIENT COUNSELING SERVICES.  Receipts will be provided for client-filed OON reimbursement claims upon request. Please contact your insurance company to familiarize yourself with your insurance plan’s coverage parameters.

 

COURT-INVOLVED COPARENT COACHING OR COURT-APPOINTED REUNIFICATION THERAPY: 

  • Requires signed agreement with deposit held in escrow.

  • I DO NOT accept BCBS or any other insurance for court-ordered or recommended family counseling. 

  • I WILL NOT file an insurance claim for this service.  BCBS reimbursement will not be possible when I am the provider for this service.

 

COURT APPEARANCE (IF APPLICABLE): 

If I am subpoenaed by the Court to appear in your family’s case matter, you agree to pay the charge of $350/hour for my preparation or document production time, travel to and from time, and time waiting and/or testifying in court.

AGREEMENT: 

Client agreement indicates that client has read, understands, and agrees to the “Fee Agreement” policy. Provision of this document implies provider’s signed agreement.