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Policies & Fees

PAYMENT

The fee is $140 per 50 minute session Payment is due at the time of service. I accept Visa, MasterCard, American Express, Discover, and HSA/FSA cards.

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If you are unable to afford the hourly rate, I offer limited sliding scale spots for clients starting at $80 per 50 minute session. Please inquire for more details. For more info about how sliding scale pricing works, this page has a helpful infographic.

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Note: As of March 2024, I have one sliding scale spot available.

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GOOD FAITH ESTIMATE NOTICE

Under the federal “No Surprises Act” effective January 1st, 2022, healthcare providers must provide uninsured clients and/or clients who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services. This is intended to prevent clients from receiving surprise bills. You can ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service. This estimate of your costs is only an estimate and based upon the information known at the time. Therefore, your actual charges may differ and does not include unknown or unexpected costs that may arise during treatment. This estimate of costs is not a contract and does not obligate you to obtain clinical services from me. I can provide you with referrals at your request.

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You have the right to initiate the client–provider dispute resolution process if the charges you are actual billed substantially exceed the expected charges in this estimate. Specifically, if you receive a bill that is at least $400 more than your Good Faith Estimate. If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days from the date on the original bill. There is a $25 fee to use the dispute process. If the dispute-reviewing agency agrees with you, you will be responsible for the amount provided on your Good Faith Estimate. If the agency disagrees with your dispute and agrees with the fees charged by me that exceed the Good Faith Estimate, you will have to pay the higher amount charged.

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To learn more visit www.cms.gov/nosurprises or call HHS at 1-877-696-6775.

INSURANCE

I am an out of network provider and do not bill insurance companies. Depending on your insurance plan, they may reimburse you for part of or all of the session fee. Upon request, I can provide you with a superbill (a detailed invoice) on a monthly basis if you are seeking reimbursement from your insurance. You can access this via the client portal. It is your responsibility to contact your insurance and verify your benefit coverage for mental health services.

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Some advantages of paying out-of-pocket is that there is no third party involvement dictating a required diagnosis, the length of appointments, number of sessions, and type of therapy used. This means greater privacy and we can better individualize your treatment to best suit your needs.

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If you are interested in using insurance, here are some questions to ask your insurance provider:

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  • Do I have out-of-network insurance benefits for mental health?

  • How much/what percentage does my plan reimburse for an out-of-network provider?

  • How will I be reimbursed?

  • Is approval required from my primary care physician?

  • What is my deductible and has it been met?

  • How many sessions per year are covered?

  • Are there any restrictions regarding the type of therapy or the practitioner’s credentials?

 

You can also use this Out-of-network Reimbursement Calculator to obtain an estimate. However the final reimbursement is determined by your insurance plan when you file a claim.

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EMERGENCIES

If you are having an emergency, please call the King County 24 Hour Crisis Line (866-427-4747), or the National Suicide Prevention Line (800-273-8255) or call 911 or go to your nearest emergency room.

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Please note, due to being an independent provider without wrap-around care, I do not provide crisis management, housing, legal (e.g. evaluations for court or other judicial proceedings) or medication services. I also am unable to provide services for those who are actively suicidal. If this is the type of care you require, I can provide you with a referral to a larger clinic or organization that has more staff and support to help provide you with a more comprehensive level of care.

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