Session Fees

 

• Initial Intake Appointment (60 minutes) = $200​​

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• 90-minute Individual Therapy Session = $250

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• 60-minute Individual Therapy Session = $175

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• 45-minute Individual Therapy Session = $150​​

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• 60-minute Play Therapy Session = $175

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• 45-minute Play Therapy Session = $150​

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• Parent Consultation Session (60 minutes) = $175

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• Family Session (60 minutes) = $175

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Appointment Length & Frequency

The length of sessions (45, 60, or 90 minutes) and frequency of appointments (weekly or biweekly) are determined collaboratively based on individual clinical and developmental needs, circumstances, and availability.

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Reduced Fee Appointments

At Tandem Psychotherapy, I believe access to quality mental health care is important. I offer a limited number of reduced-fee appointments to help make consistent therapy more financially accessible.

 

If you do not have out-of-network mental health benefits and you are experiencing financial hardship, please contact me to inquire about availability.

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Insurance & Out of Network Benefits  

I do not bill insurance directly. However, depending on your insurance plan, you may be eligible for full or partial reimbursement through your out-of-network mental health benefits.

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Payment is due in full at the time of each appointment. I provide monthly statements, commonly referred to as superbills, that you can submit to your insurance company for possible reimbursement. Superbills are not provided for reduced fee appointments.

 

​Please note that reimbursement is not guaranteed and depends on your individual insurance plan. 

 

​Additionally, insurance does not cover appointments beyond 60 minutes. For 90-minute sessions, a superbill will be provided for the 60-minute portion ($175) and the additional 30 minutes ($75) will be billed separately. 

 

Questions to Ask Your Insurance Provider

Before beginning therapy, I encourage you to contact your insurance company to clarify your out-of-network benefits. Helpful questions include:

• Does my plan include out-of-network outpatient mental health benefits?

• What is my out-of-network deductible, and how much has been met?

• What percentage or amount of each session is eligible for reimbursement?

• Are the following services covered under my out-of-network mental health benefits?

  • 90791 — Initial Diagnostic Evaluation

  • 90837 — Individual Psychotherapy (60 minutes)

  • 90834 — Individual Psychotherapy (45 minutes)

  • 90846 — Family Psychotherapy Without the Client Present

  • 90847 — Family Psychotherapy With the Client Present

• Is a referral or prior authorization required?

• Are there any limits on the number of covered sessions?

• What documentation is required to submit claims for reimbursement?

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Important Considerations When Using Insurance

Health insurance plans generally require therapy services to meet medical necessity criteria for reimbursement. This typically includes a qualifying mental health diagnosis.

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Insurance companies may also request clinical information, such as a diagnosis, treatment plan, or progress notes, when reviewing claims. Coverage requirements, authorizations, and session limits vary by plan.​

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Cancellation Policy

Appointments cancelled with less than 48 hours notice, as well as missed appointments (no-shows), are subject to a $100 fee, which will be charged to the payment method on file. If an appointment can be rescheduled within the same week, the cancellation fee will be waived, subject to availability. Additionally, one late-cancellation fee may be waived within a six-month period in the event of illness or emergencies.

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Because appointment availability is limited, I ask that clients and families make every effort to consistently attend their reserved appointment time. I understand that unexpected circumstances can arise. If ongoing scheduling difficulties occur, we can discuss available options.

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Notice Regarding Good Faith Estimates

Beginning January 1, 2022, if you’re uninsured or don’t plan to submit your claim to your health plan, health care providers and facilities must provide you with a “good faith estimate” of expected charges before you get an item or service. The good faith estimate isn’t a bill.

 

Providers and facilities must give you a good faith estimate if you ask for one, or when you schedule an item or service. It should include expected charges for the primary item or service you’re getting, and any other items or services provided as part of the same scheduled experience.

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Providers and facilities must give you:

• Your good faith estimate before an item or service is provided, within certain timeframes.

• An itemized list with specific details and expected charges for items and services related to your care.

• Your good faith estimate in writing (paper or electronic). Note: A provider or facility can discuss the information included in the estimate over the phone or in person if you ask.

• Your estimate in a way that’s accessible to you.

​For more information, please visit:https://www.cms.gov/nosurprises/consumers/understanding-costs-in-advance