Understanding the cost of counseling and how insurance reimbursement works should not require guesswork. Below is an overview of my fees, private pay practice, reduced fee availability, and superbills.

Counseling Fees

My standard fee is $140 per individual counseling session. Standard sessions are approximately 53 minutes.

A limited number of reduced fee appointments may be available based on financial need. My sliding fee range is generally $90 to $140, depending on eligibility and current availability.

Do You Accept Insurance?

I am a private pay provider and do not bill insurance companies directly. Payment is made to Tryphtin Scott Counseling according to the practice payment policies.

Some insurance plans include out of network benefits that may reimburse part of what you pay for counseling. Benefits vary substantially between plans, so reimbursement is not guaranteed.

What Is a Superbill?

A superbill is a document that contains information an insurance company may request when a client seeks out of network reimbursement. It generally includes identifying information for the provider and client, dates of service, fees, diagnostic information when applicable, and the procedure code for the service provided.

When appropriate, I can provide a superbill for you to submit to your insurance company. The insurance company decides whether the service qualifies for reimbursement and how much it will reimburse.

Questions to Ask Your Insurance Company

If you want to explore reimbursement before beginning counseling, consider asking your insurer:

• Does my plan include out of network outpatient mental health benefits?
• Do I have an out of network deductible, and how much of it has been met?
• What percentage or amount does the plan reimburse after the deductible?
• Does my plan reimburse services provided by a supervised LPCC?
• Do I need prior authorization or a referral?
• How do I submit a superbill or out of network claim?

Diagnosis and Insurance Claims

Insurance reimbursement generally requires a mental health diagnosis and related clinical information on the claim or superbill. This means using out of network benefits may involve sharing diagnostic information with your insurance company.

If you have questions about diagnosis, superbills, or what information would appear on a claim, we can discuss that before you decide whether to request one.

Payment and Scheduling

Payment is due according to the practice payment policies. You can review additional information on the Practice Policies and Frequently Asked Questions pages.

If you have a question about fees or current reduced fee availability, contact me before scheduling.