note:brief non-therapeutic messaging/communication are not billed.
Sliding scale rates are available on a limited basis for low income individuals, couples, and families seeking counseling. If you would like to apply for a sliding scale rate please mention this during your scheduling phone call or email and bring proof of income to your first appointment.
Full fee is payable prior to or on day of service.
I accept cash, check, credit or debit in office and all major credit/debit cards for payment via paypal (please email to request a paypal invoice to pre-pay for sessions online).
Do you accept insurance?
Yes, I accept select insurance plans including Molina, Cigna, United, Regence, and Group Health as well as Group Health Transgender Case Management Plan. I am also an out of network provider with insurance companies which means that with many insurance plans I do not bill insurance companies directly. Your counseling services may be eligible for reimbursement through out-of-network benefits. Health insurance plans and benefits vary. Check with your provider about reimbursement for your counseling services.
Reasons to pay privately or “Out of Pocket”
Private paying clients choose not to involve insurance companies in their mental health care. Their counseling is not limited by the diagnosis, treatment plan or session limits that health insurance companies dictate. Insurance companies often limit the number of sessions and even the type of therapy. Many insurance companies do not cover couples/relational or family therapy.
To have therapy services covered under insurance, a mental health diagnosis must be made. This then becomes a part of your permanent health care record. This may lead to limitations such as denial for quality life insurance or health insurance later on. Additionally, since a mental health diagnosis must be made to obtain reimbursement, the insurance company has to know a lot of information about you to be covered. The insurance company can review all of your records at their discretion.
By paying privately or out of pocket, I can assure private pay clients of the highest degree of privacy, flexibility and control of their mental health record allowed by Washington state law, since my records are exempt from insurance reporting and random compliance audits. Our work is off record.
In addition, many insurance companies require a deductible to be met before they start paying, so you may be paying out of pocket anyway.
We will work collaboratively to decide how often to attend therapy and you decide what you want to focus on. You have the control, not the insurance company.
If you do not show up for your scheduled therapy appointment, and you have not notified me at least 24 hours in advance, you will be required to pay the full agreed cost of the session. Emergency situations and illnesses are exceptions to this policy.