FEES and insurance
invest in yourself
Therapy is a commitment in terms of time, energy, and money. If you have made the decision to commit your time and energy to the work of therapy, you may have some questions about what it will cost financially.
Self pay rates
Some people forego using insurance to cover therapy services for different reasons. If you are choosing to pay out of pocket, please see the individual therapist profiles for their self pay rates. We can provide a superbill for you to submit to your insurance provider if you would like to try to be reimbursed for out of network services.
No Surprises Act and Good Faith Estimate
You may obtain a good faith estimate of charges upon request prior to scheduling.
The No Surprises Act is a federal law which provides you with the right to a good faith estimate of the cost of services at this practice. However, Ohio licensing board rules require clinicians to provide you with the actual cost of charges in a written informed consent form to which you must agree prior to receiving services. That will be available to you prior to you being seen for services and prior to any billing. In most cases it is impossible to estimate how many sessions you will need, and that will not be determined until your concerns are evaluated and will also vary based on the progress that you make, which depends in part on your efforts with the process. You will be free to discontinue services at any time or the services may otherwise be terminated in accordance with the informed consent form language.
The No Surprises Law states that you may initiate a dispute process if the actual charges are substantially in excess of the Good Faith Estimate charges, i.e. if you are charged $400 more than the estimated cost for a session or for the total estimate provided. That is unlikely to happen and would be a violation of licensing board rules, since you will be agreeing up front to actual charges per session prior to being seen. Dispute information is available upon request, however. Any changes to fees will require a change in the informed consent form fees, which you must agree to prior to having them go into effect, otherwise the fees will remain in effect for 12 months.
Insurance
Copays and co-insurance can range anywhere from $0 to $100+; it truly depends on your individual plan. The best way to find out is to call your insurance provider and ask. The insurance plans we are currently contracted with include:
Aetna
GEHA
Medical Mutual
Meritain Health
Ohio PPO Connect
Optum
Oscar Health
OSU Student Health Plan
Prime Care Advantage/Choice/Connect
Surest
UHC Community Plan of Ohio
UMR
UnitedHealthcare/UBH
Navigating insurance coverage can be confusing. Here are some questions to ask your insurance provider to determine if telehealth therapy services will be covered under your plan:
Are virtual outpatient mental health visits (or telehealth) covered by my plan?
Is this provider (NPI 1548851249) in-network with my health insurance? (We may not be in-network with your particular plan, so this is important to check!)
What is the policy year (i.e. does my deductible reset in January)?
What is my in-network deductible? Does the deductible apply to outpatient mental health visits?
How much of my deductible has been met?
What is my copay or co-insurance for outpatient mental health visits?
Is this coverage applicable before or after I meet my deductible?
Is there a limit on sessions my plan will cover per year? (If yes, how many?)
Does my policy cover 60 minute sessions? (If yes, how many?)