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Rates & Insurance

Rates

The cost of our services will vary depending on individual needs and the type of services being provided. Listed below is a copy of our fee schedule.  At the first appointment, the therapist can discuss the estimated cost for sessions.  Patients can also discuss with their therapist if they are eligible for our sliding fee scale. 

 

Diagnostic Evaluation, 60 minutes $275

Psychotherapy, 30-minute session $100

Psychotherapy, 45-minute session $175

Psychotherapy, 60-minute session $225

Psychotherapy, family without client present $225

Psychotherapy, family with client present $225

Payment

Payments can be made via the patient portal or at the time of your appointment.  Co-Pays are due at the time of appointment. Payments can be made via credit card, debit card, or cash. All major credit cards are accepted.

Cancellation Policy

If you miss a scheduled therapy appointment for any reason other than an emergency or you have not notified us at least 24 hours in advance, you will be required to pay a $75 cancellation fee. It is important for you to be aware that insurance companies do not reimburse for missed appointments. Upon missing or late canceling two sessions within three months all future appointments may be canceled. 

Insurance

Depending on your current health insurance provider or employee benefit plan, it is possible for services to be covered in full or in part. Please contact your insurance provider to verify how your plan compensates for psychotherapy services.

I’d recommend asking these questions to your insurance provider to help determine your benefits:

  • Does my health insurance plan include mental health benefits?

  • Do I have a deductible? If so, what is it and have I met it yet?

  • Does my plan limit how many sessions per calendar year I can have? If so, what is the limit?

  • Do I need written approval from my primary care physician in order for services to be covered?

Insurance Companies

The Alliance

Anthem BCBS

Aspirus Health Care- Employee Signature

Choice Care Network

Coventry First Health/CCN

Dean Health Plan

Group Health Cooperative of Eau Claire

Health Partners

Humana ChoiceCare Network

Interplan/Health Smart/The Emerald Health Network

Managed Health Services (MHS)

MultiPlan/Health EOS

Security Health Plan

Trilogy Health Networks

Quartz Health Solutions

United Health Care- Optum

Wisconsin Badgercare/Medicaid

Wisconsin Physicians Service (WPS)

No Surprises Act and Good Faith Estimate

Effective January 1, 2022, a ruling went into effect called the “No Surprises Act,” which requires healthcare providers to provide a “Good Faith Estimate” (GFE) about out-of-network care to any patient who is uninsured or who is insured but does not plan to use their insurance benefits to pay for health care items and/ or services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. 

  • Make sure your healthcare provider gives you a Good Faith Estimate in writing at least 3 business days before your appointment when an appointment is scheduled at least 10 business days in advance.

  • Make sure your healthcare provider gives you a Good Faith Estimate in writing at least 1 business day before your appointment when an appointment is scheduled at least 3 business days in advance.

  • 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.

  • When a good faith estimate is requested, the good faith estimate must be provided no later than 3 business days after the date of the request.

  • 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 or the dispute process, visit www.cms.gov/nosurprises  or call CMS at 1-800-985-3059 .

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