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:
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Does my health insurance plan include mental health benefits?
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Do I have a deductible? If so, what is it and have I met it yet?
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Does my plan limit how many sessions per calendar year I can have? If so, what is the limit?
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Do I need written approval from my primary care physician in order for services to be covered?
Insurance Companies
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
The Alliance
United Health Care- Optum
Wisconsin Badgercare/Medicaid
Wisconsin Physicians Service (WPS)
No Surprises Act and Good Faith Estimate
In accordance with federal law, as of January 1, 2022, clients who are uninsured, or who are insured but opting not to use their insurance benefits to pay for psychotherapy services, are entitled to a Good Faith Estimate (GFE) which outlines the amount a client could be charged for psychotherapy services. A GFE is available both orally and in writing.
The GFE is not a recommendation for treatment or a prediction of the number of sessions needed to treat your concerns. The information provided in the good faith estimate is only an estimate, and the actual items, services, or charges may differ from what is included in the GFE. The GFE shows the costs of services that are reasonably expected for the anticipated services to address your mental health care needs. The estimate is based on the information known to us when we did the estimate.
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 occur. If this happens, federal law allows you to dispute (appeal) the bill.
If you are billed for $400 more (per provider) than the GFE, you have the right to dispute the bill.
You may contact Winding Rivers Counseling LLC to let us know the billed charges are at least $400 higher than the GFE. You can ask us to update the bill to match the GFE, ask to negotiate the bill, or ask if there is financial assistance available.
You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill.
There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on the GFE. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount.
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 .