FAQs & Insurance

Frequently Asked Questions & Insurance

  • What are the fees for services?

    Fees depend on the service provided and duration. Clients may receive a free 10-15 minute phone consultation to determine if we are a good fit for them. Session fees range based on the duration and type of session provided and we will be happy to let you know the cost of sessions based on your coverage when you reach out. 


    The majority of our clients utilize their benefits to cover a portion or all of their sessions. Sliding Scale rates are available based on need and application if requested.

  • Do you accept insurance?

    A Work of Heart Counseling works with most commercial insurance companies as an out of network provider. 


    Contact us so we can help you verify your coverage and options! We do not accept Medicare or Medicaid at this time.

  • Do you offer a sliding Scale? What if I don't have Out-of-Network (OON) coverage?

    Yes - we offer a sliding scale based on need and maintain a limited number of appointments for sliding scale clients. We ask that prospective clients fill out a sliding scale application if requesting it. One of our associate clinicians offers significantly reduced fee appointments to meet this need as well. 

  • Why would I use an Out-of-Network provider if I have health insurance for mental health?

    You can finally connect with a therapist who is uniquely fit to help you and your particular needs, rather than searching merely based on whether the therapist is in-network with your insurance provider! 


    This means you and your therapist decide on how many sessions you need, how long you stay in treatment, and the kinds of therapeutic interventions you want to try, without the insurance company dictating this for you. 


    It strengthens your privacy, and you can even decide if your mental health treatment even becomes part of your insurance's health record.

  • How does using an Out-of-Network (OON) provider work?

    Clients are provided with a superbill (an itemized receipt) to submit to their insurance company to seek reimbursement. The majority of clients utilizing out of network coverage are reimbursed 70-80% of the cost of sessions. Our administrative team will support you in navigating this with your insurance. We submit all claims on your behalf (if you wish) to help you focus on therapy and not paperwork!


    Some helpful questions to ask your insurance company when considering an out-of-network provider:


    • Do I have out-of-network benefits for mental health care? If so, what are they?

    • What is my deductible? Have I met that yet?

    • Does this coverage include remote/online therapy for out-of-network providers? If so, is there an end date to that coverage?

    • What is the expected reimbursement rate for the following procedural codes? 


    Please note, the below codes are not exhaustive. Depending on the nature of the sessions, additional codes may need to be utilized. 


    • 90791 Psychodiagnostic Evaluation (initial intake session)

    • 90834 Psychotherapy (45 minutes) 

    • 90837 Psychotherapy (60 minutes) 

    • 90847 Family/Couples Psychotherapy (45 minutes)

    • 90853 Group Therapy


  • Do you offer any consulting services?

    Yes! We offer workshops and presentations for non-profit organizations, schools, and other programs. We also offer ancillary support services to clients such as assisting with navigating the special education process and getting supports in schools. 

  • Are you in compliance with the No Surprises Act and will you provide a Good Faith Estimate?

    Yes! Please see our notice here and contact our office for a good faith estimate. 


    As required by CMS and Federal Legislation, effective January 1, 2022 (the “No Surprises Act”) the Practice is required to provide you with a good faith estimate (GFE) for services. The Practice’s office policies outline most of the requirements of this legislation, but a separate document will include the information in a way that complies with this legislation.


    Psychotherapists and clinical social workers adhere to a code of ethics, and much of the information required under the new legislation cannot be provided in advance without violating those ethics. All prospective clients will be provided with a general document outlining the practice’s current full fee schedule, but since service duration and length are determined between patient and therapist and can change based on the progress the individual is making in therapy, an estimate of therapy costs will be provided as if they are seen on a weekly basis for a year to ensure transparency. 


    Diagnoses for patients are NOT provided prior to the practice meeting with the patient, but the fee for services is not impacted by a diagnosis. Diagnoses are provided after careful review of clinical presentation and observations and other collateral information that is provided and acquired.


    A unique GFE will be provided to theclient based on an estimated treatment frequency with the understanding that a client is never required to complete their treatment as psychotherapy is an "at- will" medical service. At minimum, treatment plans are reviewed approximately every 3 months, and a new GFE can be provided upon request or if the cost of services will increase beyond the amounts provided in the GFE. 

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