How we work
Do you take insurance?
What are the benefits of paying out of pocket?
Self-pay (also called private pay) can be a more simple, efficient, and personalized way to receive mental health services. You get what you need, and often at a lower cost to you financially and fundamentally.
Insurance requires a diagnosis, access to your records and certain regulations that may not consider your individual needs. Self-pay removes focus from the billable service and allows for greater flexibility to incorporate various care approaches at your request.
The self-pay rate will be negotiated with your therapist, depending on your financial situation.
What are your therapy rates?
Does Insurance Cover Video Therapy?
Video therapy, also called telehealth, is usually covered by commercial insurance plans the same way that office visits are covered. If you are unsure, we can help you navigate your telehealth benefits prior to beginning your first appointment.
How Long Can I Expect To Be In Therapy?
How Long Is Each Session?
Both individual and relational/couples therapy sessions are typically 55 minutes, however, the length of your sessions will be determined by both you and your therapist.
How Frequent Are Sessions?
Research shows that clients who engage in weekly therapy benefit more from their therapy experience than those who come in less frequently. For this reason, we highly recommend scheduling weekly sessions until you and your therapist agree to reduce the frequency of sessions. If you would prefer to meet more or less frequently, we would be happy to discuss a schedule that accommodates your financial and scheduling needs.
How Do I Schedule An Appointment?
You can also email info@valued-living-therapy.com to learn more. We look forward to hearing from you!
What are a deductible, copay, and co-insurance?
DEDUCTIBLE
Most, but not all, insurance plans generally start with a fixed deductible that you will need to exhaust each insurance year (12 months from the start of your insurance) BEFORE insurance will cover services. This deductible could be $100 or several thousand dollars. If you have a deductible, insurance will process your claim and your responsibility will be the full contracted rate for the service. For example, if we have a contract with your insurance that we will be paid $125 for a service and you have a deductible, you will be responsible for the full $125.
COPAY & CO-INSURANCE
Usually after you exhaust your deductible in each insurance year, you may have a copay or a co-insurance. A copay is a fixed amount you will pay each session, like $20 or $50. Insurance will cover the rest of our contracted rate.
A co-insurance is a percentage you pay for each session, like 20% or 30% of the contracted rate. For example, if our contract rate with your insurance is $125 and you have a 30% coinsurance, you would be responsible for $37.50 ($125 x .30 = $37.50). Insurance will cover the rest of our contracted rate.
FINALLY…
Please know this information is for educational purposes only and may not accurately describe how your specific insurance functions. It is the responsibility of each client of Valued Living Therapy to be aware of her/his/their insurance benefits. However, we hope this is a helpful guide to some terminology that you may encounter in your research.
What is a Good Faith Estimate?
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.
What to expect from a good faith estimate:
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.
