Intake and Session Fees

53-Minute Individual Session: $250

80-Minute Individual Intake Session: $375

53-Minute Relational Session: $300

80-Minute Relational Session: $450

3 hour Individual Marathon Therapy Session: $820

Couples Marathon Therapy Session: $340 per hour

• To create access, I keep a few spaces open in my practice for low-income clients, and work with those who may need a lower rate to incorporate therapy into their lives. If you feel this is reflective of your current circumstances, please let me know. Please keep in mind that sliding scale rates are only available to those who do not have access to insurance for coverage of services, or the financial means to pay my full session rate. Therefore, I do not provide superbills for insurance reimbursement if you are also receiving a sliding scale rate. I utilize the green bottle sliding scale method for understanding accessibility needs. http://www.wortsandcunning.com/blog/sliding-scale

Private Pay

I’m a private pay, out-of-network (OON) provider, meaning I’m not in-network with any insurance companies or EAP programs, and payment is due the day of each session.

You will need to provide payment information before our intake.

You will be automatically billed within 24 hours of each session.

Benefits of Private Pay Psychotherapy

There are many benefits for clients who choose private pay therapy instead of using insurance, including:

• Freedom to choose a therapist who is the best fit for your needs

• Freedom for you and your therapist to determine the course and length of treatment

• Increased confidentiality as your therapist will not have to share your treatment and diagnosis with an insurance company

• No restrictions on online therapy

• You can continue to work with the same therapist even if your insurance changes

Out-of-Network (OON) Insurance Reimbursement

I’m happy to provide monthly superbills you could submit to your insurance company for partial reimbursement for OON psychotherapy, if available, based on your plan and deductible.

If you want to use OON benefits, call your insurance provider and clarify what they cover. The client’s responsible for understanding their insurance plans and seeking information about their company’s reimbursement process.

Please note that I am not contracted to accept Medicare Part B health insurance – You cannot submit your reimbursement claims to Medicare.

Questions to Ask Your Insurance Company About OON Psychotherapy

You may find answers to these questions in your insurance Summary of Benefits or your insurance company’s website. I recommend calling your insurance company to verify your benefits. You can usually find this phone number on the back of your insurance card. Here are some questions to ask when you call:

1. Do I have out-of-network (OON) outpatient mental health benefits?

2. If I have out-of-network outpatient mental health benefits, what percentage or dollar amount will be reimbursed for psychotherapy?

3. Do out-of-network benefits cover LMFTs?

4. Do out-of-network benefits cover online therapy (telehealth, telemental health, or teletherapy)?

5. Do I have an annual deductible? If so, how much is it, and has my deductible been met for this year?

6. If I have a deductible, will I need to pay out of pocket for OON psychotherapy until that deductible is met? After the deductible is met, what percentage or dollar amount will I be reimbursed for OON psychotherapy?

7. What documentation do I need to submit to receive out-of-network psychotherapy reimbursements?

8. Do I need a referral from an in-network provider to see an out-of-network provider?

If it’s helpful, you can provide the following CPT codes to your insurance company:

• 90791  for the intake 

• 90837  for 50-minute or longer psychotherapy sessions

Help Submitting OON Insurance Claims

If you need help submitting claims, a service called Reimbursify will submit the insurance reimbursement paperwork for you.

The first claim is free, and they charge $1.99 to $2.99 per claim.

https://reimbursify.com/

Initial Free Consultations

As a first step to starting therapy with me, I offer a free 15-minute telephone consultation. This call aims to help us determine if I am a good fit for you.

I’ll ask you about your treatment needs, you can learn more about my approach to therapy, and I’ll answer your questions about me and my practice.

If we agree that I’m a good fit therapist for you, then I’ll send you pre-intake paperwork so you can schedule your intake!

Pre-Intake Paperwork

You must complete the pre-intake paperwork before your intake is scheduled and confirmed.

After our consult call, you will receive a link to the pre-intake paperwork. This paperwork includes consent forms to read and sign, payment information, and questionnaires about yourself. You must complete this pre-intake paperwork before your intake appointment is scheduled. Once you complete your paperwork, you will receive an email confirmation that your paperwork has been completed.

Please call me at (206) 472-1461 or email me at ash@ashanthony.com if you have any questions while completing the pre-intake paperwork.

Cancellations and No Shows

If you need to cancel or reschedule an appointment, kindly do so by text, call, email or through the client portal 48 hours in advance of your scheduled appointment. Any appointments that are rescheduled or cancelled less than 48 hours will be charged the full session rate plus card processing fees. If you intend to reschedule your appointment, please be aware that I cannot guarantee another available time within the same time slot or within the same week.

The only exceptions for late cancellations are for emergencies (i.e., death or birth in the family, an accident) or serious illnesses or injuries of yourself or someone you care for. Work or travel-related conflicts will not be exceptions to this policy. This policy is necessary because a time commitment is made to you and is held exclusively for you. Fees incurred on same day cancellations may be waived in the event of an emergency on a case-by-case basis.

For those with regularly occurring appointments on a weekly or bi-monthly basis, you may only cancel 2 times in a row within a 6 month period from your start date before treatment will be terminated. Once you cancel three sessions in a row, you will lose your spot in my practice. If you cancel twice in a row more than once in a 6 month period you will also lose your regular spot. If you cannot make appointments due to medical issues or an unforeseen death or another emergency, reserving your time slot will be determined on a case-by-case basis.

Cancellations due to Covid exposure follow the same 48-hour cancellation policy, and appointments will be moved to telehealth unless you are unable to participate in session due to Covid related complications (i.e. loss of voice or hospitalization).

Paperwork Fee/Additional Services

Additional Services: $70 per 15 minutes for additional services such as extended sessions, preparation of paperwork, and documentation, copy services, after hours phone consultations. You will be notified of these charges in advance.

Good Faith Estimate

Under Section 2799B-6 of the Public Health Service Act, healthcare providers and healthcare facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal healthcare 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 “Good Faith Estimate” of expected charges.

You can receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the law, healthcare providers must give patients who don’t have insurance or are not using insurance an estimate of the bill for medical items and services if requested. 

Wellness Policy for In-Person Therapy

Regarding Covid and respiratory illnesses.

1. If you have been exposed to covid, please wait one week before attending in-person therapy sessions, and meet online while awaiting your prognosis. Test for covid before returning to in person sessions after the week has passed.

2. If covid positive, don’t attend therapy in-person. If you are feeling well enough to meet online, then please plan for a telehealth session.

3. If you are experiencing a respiratory illness (e.g.: flu, cold, sore throat, sneezing, or coughing) or have a fever, within first five days of onset, don’t attend and plan to meet online or cancel within the 48 cancellation window.

4. If you have only mild residual symptoms, and they are resolving, (no fever, stuffy nose, infrequent cough, no malaise) wear a good quality mask while you are symptomatic when attending in person sessions.

5. If you are uncertain of your health status, I urge you to consult with your preferred health care provider.

6. The 48 hour cancellation policy is still in effect when you are sick. Some emergency circumstances will be considered, and the late cancel fee may be waived on a case by case basis.