Investment
Insurance
Insurances currently accepted by licensed providers:
Anthem
Cigna
Optima/Sentara Health Plan
Aetna
United Behavioral Health.
Residents take some major private insurances such as:
Cigna
Aetna
Optima/Sentara Health Plan
If using insurance, your copayment will be due at the time of service. If you have not met your deductible, please inform me in order to discuss rates. If you are unsure of your copay amount, or if you are unsure if you have met (or have) a deductible, please contact your insurance company. If you need assistance with this, please let me know and I will gladly contact them on your behalf.
If you have a different insurance plan and would like to use out-of-network benefits, we are able to provide you with a superbill to submit to your insurance company for reimbursement. Out of network coverage differs per plan. Please consult with your insurance company to see if you qualify for this service and whatever coverage you are allotted.
Self Pay
There are a few reason why you may consider self-pay option when seeking
mental health therapy.
1) We do not accept your current insurance provider but you would like to see a provider due to their specialty or niche, therapeutic approach, or direct referral
2) You would prefer no diagnosis is documented. Insurance companies require a diagnosis and diagnosis code to cover therapy, so self-pay removes this requirement.
3) It may be cheaper than utilizing insurance, especially if working with one of our interns with a session rate of $25 or a resident with session rate of $90
Self-pay rates and information is shared below.
SELF-PAY RATES
Licensed Providers
Initial Intake Assessment : $200
Individual Session 60 Minute (53–60 Minutes) : $175
Individual Session 30 Minute : $87.50
Residents In Counseling
Initial Intake Assessment : $110
Individual Session 60 Minute (53-60 Minutes) : $90
Interns
Initial Intake Assessment : $25
Individual Session 60 Minute (53-60 Minutes) : $25
Substance Abuse Assessment
Assessment & Required Documentation: $450
Additional Documentation: $175/hr
*These are only conducted with Danielle Cauley, LPC, PMH-C, CSAC
Psychiatric Services- Medication Management
Coming Winter 2024/2025
Please note:
* These fees reflect self-pay rates for time limited sessions as outlined above. Using insurance may reduce your out-of-pocket expense based upon contracted rates. Please contact your insurance company to confirm your mental health benefit and your financial responsibility. Not all providers accept insurance or participate in all plans listed.
GOOD FAITH ESTIMATE
Notice
Effective January 1, 2022, a ruling went into effect called the “No Surprises Act”, which requires practitioners to provide a “Good Faith Estimate” to individuals who do not have insurance or who are not using insurance. Under Section 2799B-6 of the Public Health Service Act (PHSA), health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request, or at the time of scheduling health care items and services to receive a GFE of expected charges. The Good Faith Estimate (“GFE”) works to show the cost of services that are reasonably expected for your mental health care needs. The estimate is based on information known at the time the estimate was created.
The GFE does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances arise and you will be provided with a new GFE should this occur. If this happens, federal law allows you to dispute (appeal) the bill if you and your provider have not previously talked about the change and you have not been given an updated GFE.
Note: The PHSA and GFE do not currently apply to any individuals who are using insurance benefits, including “out of network benefits” (i.e., submitting superbills to insurance for reimbursement).
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.
Cancellation Policy
Appointment reminders go out weekly so any no-shows to appointments or cancellations with less than 24 hours notice will be subject to cancellation fee. Cancellation fee for all providers is full contracted session rate. We provide each client with one “freebie” as we know things happen. After that, fee will be charged for any further missed appointments without proper notice.
This policy is important not just for the providers and organization, but also so that we can better serve those waiting to be seen that may not be able to hold a slot when a time has been reserved for you.