Fees and Insurance

Fees:

  • Counseling services are $190 (50-minute virtual or in-person session) and $105 (25-minute virtual check-in)
  • Personalized Action Plan Consultations for parents are $155 (50-minute virtual session)
  • Colleague Consultations are $155 (50-minute virtual session)
  • The costs for groups, webinars, and training vary, and are noted along with each service description.

Payment Information:

I accept Visa, MasterCard, Discover, American Express, and HSA cards.

Insurance Information:

I understand that many people seek a psychologist within their insurance network to help manage the financial cost of care. In the past, I did accept insurance, but over time I became increasingly concerned about the limitations and ethical challenges it placed on both clients and providers.

I value your mental and emotional well-being and firmly believe that you should not be restricted to a specific number of sessions per year or compelled to disclose exceedingly personal details to insurance companies to justify access to coverage for mental health services. Insurance companies require a diagnosis for coverage, and while I am trained in diagnostic procedures, I am a strong advocate for focusing on your strengths, growth, and healing rather than pathologizing your experiences within a system that is fundamentally flawed and rooted in inequity. For these reasons, I have made the intentional decision not to participate directly with insurance panels at this time. However, if you choose to pursue out-of-network reimbursement, I’m happy to support that process by working with you to provide the appropriate diagnosis and service codes to assist with potential coverage (see a list of questions to ask your insurance provider about coverage below).

Please be advised that I am not an approved Medicaid provider, and therefore cannot provide therapy services to Medicaid enrollees. By law, it is illegal for non-Medicaid providers to accept private pay from Medicaid enrollees for any services covered by Medicaid regardless of whether the individual client pays directly or makes arrangements for another individual to pay.

Many individuals opt to pay for services through Health Savings Accounts and Flex Spending Accounts, which typically do not require a diagnosis or impose limitations on services. To learn more about what your investment in therapy covers, I invite you to read my blog post, "Why Does Therapy Cost So Much?"

If you are interested in seeking out-of-network coverage for therapy, here are some questions that may be helpful to ask your insurance provider:
Basic Coverage Questions
  1. Do I have out-of-network mental health benefits for individual therapy (CPT code 90837 or 90834)?
  2. Is there an annual deductible I must meet before out-of-network benefits begin? If so, how much is it, and how much have I met so far?
  3. After I meet my deductible, what percentage of each session will be reimbursed?
  4. Is there a maximum allowed amount per session? (For example, if the therapist charges $200, does insurance base reimbursement on a lower “allowable rate”?)
  5. Is there an annual or lifetime limit on the number of therapy sessions covered?
Claims & Reimbursement Process
  1. What documentation do you need from me to submit a claim? (e.g., a “superbill” or itemized receipt from my therapist)
  2. How long do I have to submit a claim after each session?
  3. How can I submit the claim—online, by mail, or through a mobile app?
  4. How long does it usually take to process and reimburse an out-of-network claim?
  5. Will reimbursement go directly to me, or can it be paid to my therapist?
Telehealth & State Considerations
  1. Are telehealth sessions covered for out-of-network providers?
  2. Does coverage depend on the state where the therapist is licensed or where I live?
Additional Clarifications
  1. Do I need a referral or pre-authorization for therapy to qualify for reimbursement?
  2. Does my plan differentiate between specialist and mental health coverage?
  3. Are there any specific exclusions for certain types of therapy or providers (e.g., psychologists vs. counselors)?

Federal Notice as of January 1, 2022

  • You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call the Colorado Division of Insurance at 303-894-7490 or 1-800-930-3745.

 

Land Acknowledgment

My office is located on land that was once inhabited by the Tséstho’e (Cheyenne), Očhéthi Šakówiŋ, and Núu-agha-tʉvʉ-pʉ̱ (Ute) Native American tribes, and as an individual who now profits off of the colonization of their lands, I choose to donate a portion of my monthly earnings to First Nations Development Institute as an acknowledgement of the reparations owed.