What is the cost?:
50 minute session(individual and couple): $125
80 Minute couples session: $190
Couples Counseling online assessment fee: $30
Fee for written report: $50
Payment is accepted in the form of cash, check or credit card
Court fees: $1000 per day paid in advance for each day of required attendance
Can I use insurance?
I do not bill insurance for couples/family counseling. Health insurance requires that we are treating a mental health condition, so if you are seeking counseling for marital related issues, this is not covered. I do however, bill insurance if I am treating an individual for a mental health condition and we intermittently(not every week) involve their partner to support their treatment. Clients are often told by their insurers that their policy includes couples counseling, only to find out that this means that their partner can only be in the room intermittently and all goals must relate to the mental health condition. They are then on the hook for sessions previously paid by their insurer. You may be able to use your flex spending accounts for couples therapy, ask your benefits administrator for further information.
Blue Cross/Blue Shield
Out of Network:
Out of Network benefits may be accessed per your insurance if available.
If I am not “In Network” with your insurance, You may be able to be reimbursed by your insurance, usually at least 50% as an “Out of Network” expense. I would be happy to supply you with the receipts to submit to your insurance.
Before you decide on using your insurance benefits please understand there are benefits to private (out of pocket)pay:
1. Use of health insurance requires a mental health diagnosis. (Major Depressive Disorder, Social Anxiety Disorder, Obsessive Compulsive Disorder for example). Insurance will not pay for relationship counseling, parenting, grief, and many other typical challenges for which you may be seeking therapy. If you are looking for help in one of these areas, you will have an easier time finding a therapist, and getting an earlier appointment if you pay out of pocket.
2. If you use your insurance, the insurance company will have a say in your treatment plan, goals, etc. They will want documentation of our work toward their “approved” goals and plan. These goals may or may not be in line with why you are seeking therapy.
3. Insurance benefits are not accessible until your deductible is met. If your deductible is high, we may be done with counseling long before it’s reached.
4. My therapeutic orientation is brief and solution focused. Many clients compete their goals within two months.
5. Many therapists who are accepting insurance are at full capacity and not accepting new clients. I have immediate availability.
6. By paying privately, your file and everything we discuss is private. Many clients do not want a paper trail documenting a mental health or substance use diagnosis on their permanent health record.
How do I get started?
If you are desiring couples counseling we begin with a 4 session comprehensive assessment which includes:
- 55 minute conjoint couples session to go over desired goals, gather relationship history, assess current relationship functioning
- Online assessment through the Gottman Relationship Checkup
- Separate 1:1 sessions with each partner to address individualized histories, concerns
- Follow up conjoint session to present all information gathered from online assessment and 1:1 sessions. This provides the road map to begin work.
We can schedule these sessions all in one day, or over the course of a few weeks depending on your schedule and needs.