Fees & insurance

Fees and insurance

Clear, plain-language information so you can make decisions with fewer surprises.

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Standard fee and sliding scale

  • Standard fee: $160–200 per session
  • Sliding scale: Limited availability based on reported income

The sliding scale applies only when you pay for sessions yourself. It does not lower insurance or Medicare copays, coinsurance, or deductibles.

Couples sessions (50–55 min) and individual sessions (50 min) are billed at the same standard rate. Intake (60 min) is also $160–200.

Couples sessions and insurance: Insurance, including Medicare, may pay for a couples session when it is part of treating one partner's diagnosed mental health condition. Couples counseling for the relationship alone is usually not covered. When insurance does not apply, couples sessions are $160 to $200.

Cancellations and missed sessions

  • 48-hour notice is required to cancel or reschedule without a fee
  • Late cancellation fee (within 48 hours): $75
  • No-show fee: $75

About the $75 fee: Insurance and Medicare do not pay this fee. Some plans do not allow this fee. If yours does not, it is not charged.

Standing weekly slots are protected for you; the cancellation policy is what makes that consistency possible.

Evaluation fees

These are self-pay prices. If you have Original Medicare or a plan I am in network with, please ask before you schedule, because some parts may need to be billed to your plan.

If I am not in network with your plan, I can give you a superbill to send to your plan. If you have no insurance or choose not to use your private insurance, you get a written Good Faith Estimate for any part you pay for yourself. If you have Medicare, I tell you in writing before you schedule which parts Medicare covers and what any other part will cost. Evaluation appointments follow the same 48-hour cancellation policy and $75 fee as therapy sessions. No deposit is required.

Fees do not guarantee a diagnosis, a particular report conclusion, or approval of a request.

Clinical supervision fees

  • Individual supervision (as available): $100–$150 per hour
  • Group supervision (when a group is running): $55 per person per hour

For Florida Registered Mental Health Counselor Interns (RMHCI). Read about clinical supervision.

Insurance

I currently work with:

  • Aetna
  • Cigna (Evernorth)
  • UnitedHealthcare behavioral health
  • Ascension SmartHealth
  • Quest Behavioral Health
  • Carelon Behavioral Health
  • Original Medicare (I do not accept Medicare Advantage plans unless explicitly stated otherwise in writing.)

Verify before starting

  • Behavioral health copay / coinsurance
  • Deductible status
  • Authorization requirements
  • Telehealth coverage

Coverage varies by plan. Verifying benefits is recommended before starting care.

Good Faith Estimate

You have the right to a written Good Faith Estimate if you have no insurance, if you choose not to use your private insurance, or if a service is not covered by your private plan. It does not apply to services billed to your in-network plan, or if you have Medicare or another federal health program. If you have Medicare, I tell you in writing before you schedule which parts Medicare covers and what any other part will cost.

Read the Good Faith Estimate notice.