How fees work

Some of our clinicians are in network with some employer plans, and others are out of network. Which applies to you is confirmed at intake, before your first session. Plans differ on group therapy: some cover it and some do not. We do not bill Medicare or Medicaid.

If you pay yourself, the fee depends on the program: a 50-minute individual session, or a group of 90 minutes that runs for a set number of weeks. Your fee is given to you in writing before you start. A limited number of reduced-fee spots are held in each group; ask at intake how to request one. HSA and FSA cards are accepted. A group is a commitment to the circle, so we ask you to tell us when you will miss an evening; individual sessions need 24 hours' notice to change.

Each month we give you an itemized receipt (a superbill) with the dates and kind of session, for a plan that may reimburse part of out-of-network care. It carries a diagnosis code your insurer can see. Your plan decides whether it pays anything, so ask it before you start.

If you pay without insurance, you have the right to receive a Good Faith Estimate of what your care will cost before you start. For a group, the estimate covers the whole series. If your final bill is $400 or more above the estimate, you can dispute it. The estimate is not a contract.

Our intake coordinator checks your benefits before your first session, including whether your plan covers group therapy, and tells you what the plan says. Coverage is the plan's decision, not ours.

The first visit is a 50-minute intake with one clinician, even if you plan to join a group. You talk about what you want, we explain how the groups work and what stays private, and together you choose a first step. Your written estimate comes before it.