Therapy sessions are available through ‘telemental health’ (live video/audio conferencing) and in-person with precautions. Please wear a mask in the waiting room; wash hands prior to coming into therapy office. Speak to your therapist about other precautions being taken and what makes you most comfortable. Individual sessions are usually 50-60 or 75 minutes in length and couples/family sessions are usually 75+ minutes in length. Session rates are increased when time is extended – prorated in 15 minute increments.
Intake Assessment Interviews are usually scheduled for a 90 to 120 minute sessions. Be advised that following the initial assessment, therapist will make treatment recommendations and refer out if necessary for appropriate fit and/or if clinical needs are outside the scope of this practice.
Fees in 2022
$150 per individual (50-60 mins) therapy session; $38 each additional 15 minutes.
$165 per couple or family therapy (50-60 mins) session; $207 (61-75 mins); $42 each additional 15 minutes
$300 (individuals) or $330 (couples/family) per initial intake session-usually 90-120 minutes
$175 per crisis (30-60 mins) session; $44 each additional 15 minutes
$175 per hour for court related services
Telephone and Other Contact
$0 No Charge for initial 20-30 minute Telephone Intake Consultation prior to first appointment
$0 No Charge for brief (less than 10 minutes) telephone check-ins when necessary are acceptable.
$40 charge per 15 minute interval for care coordination, consulting, reading and responding to emails, letters/reports and calls lasting ten minutes or more. Additional fees apply for travel time and meetings. Involvement in legal/court matters charges are detailed in the Information, Authorization & Consent form.
When it seems more frequent contact is needed, you will be directed to schedule an appointment to discuss clinical needs and use of available resources.
Therapist is not always available immediately by phone; at your discretion, you may leave a brief message on therapist’s secure direct line or email, but please DO NOT share any confidential, time sensitive or personal health information to protect your safety and privacy.
Therapist returns calls and emails generally within 24-48 hours or the next business day, if a holiday or weekend.
TeleMental Health Therapy (Video/Audio)
TeleMental Health sessions are available to ALL CURRENT and NEW clients. This is a safe, secure and effective means of receiving psychotherapy services. Telemental health therapy is just as effective as in-person sessions. For many, the convenience of not having to include commute time or child care is a plus. For those concerned about privacy, many clients get creative and use their car, basement, garage, work office or other private locations from which to access the video/audio session. You can connect with a cell phone, laptop, desk top or tablet. Phone sessions without video are also available. Speak to your therapist about what works best for you.
Payment is due at the time services are provided. Most major credit cards or Health Savings Account (HSA/FSA) cards, cash or check are acceptable forms of payment. Inadequate funds or returned checks will incur a $30 service fee. All clients are required to keep a credit card on file through our secure payment app for routine and ancillary/miscellaneous charges, unless other payment arrangements are agreed upon in advance.
You will receive a “good faith estimate” of services prior to starting services. Upon review of your “good faith estimate” of services, you have a right to decide whether or not to work with us. Receipt of a “good faith estimate” does not obligate you to start or continue using our services.
You have the right to discontinue utilizing our services at any time; however if your mental status, health or safety is of concern, your therapist will work with you on identifying referrals for accessing other service options to meet your needs.
Scheduled appointments are set specifically for you. If you have to cancel or reschedule an appointment, Essential Connections cancellation policy requires you to notify your therapist at least 24.0 hours in advance by email or text to avoid paying $150 for the missed session. Insurance does not reimburse you for missed sessions. Your emotional and physical well-being is important, make a commitment to yourself and get the most out of every session by being on time. Some of our most meaningful moments in life are about showing up and being present.
A Word on Insurance
Be advised that everything you may seek counseling for is not necessarily covered by insurance companies. If you wish to claim out-of-network reimbursement for sessions, please speak with your therapist about the criteria for doing so and request a “superbill” receipt. See below for more on how to access “Out-of-Network Insurance Benefits.”
Essential Connections chooses to be “out-of-network” and values individualized, highly trained, skillful services and personalized care. We do not to subscribe to an “illness” based medical model and prefer not to be hindered by session limits or insurance restrictions on treatment methods and time constraints. By being an out-of-network provider, our clients receive specialized treatment and the advantages of advanced training and skills that support our holistic, strength based, resiliency focused, mindfulness oriented, and neuroscience based innovations with an integrative mind-body approach to care.
Out-of-Network Insurance Benefits
Essential Connections is considered an “Out-of-Network” provider with health insurances and employer benefit plans. Being “out-of-network” means we do not have a signed contract with your health plan and paying an out-of-network provider might not count toward your annual out of pocket expense limits. You may pay more for an “out-of-network” provider and should consider your current benefits and financial needs to determine if staying with “in-network” vs. “out-of-network” is best for you. Limited discount positions available upon request.
Depending on your providers plan, our services may be covered in full or in part if you have out-of-network mental health benefits. Prior to your first appointment, it is your responsibility to contact your insurance company or employee benefit plan to ensure you know and understand how and what your plan compensates you for out-of-network psychotherapy services (also referred to as mental health, behavioral health and/or telemental health services).
Please check your coverage carefully, in advance of your first session, by calling up the member services phone number on the back of your insurance card and asking the following questions:
- Does my health insurance plan include out-of-network mental or behavioral health and/or telehealth benefits?
- Is there a pre-authorization requirement for using 90837 (individual 60+ mins) or 90847 (family/couples)?
- Do I have an out-of-network deductible? If so, what is it and have I met it yet?
- Does my plan limit how many sessions per calendar year I am allowed? If so, what is the limit?
- Do I need written approval from my primary care physician in order for services to be covered?
- Do I have to get pre-authorized approval before I start therapy?
If you have and choose to use out-of-network benefits, let them know you will be seeing Lisa Reid, MSW, LCSW at Essential Connections (in case they require pre-authorization). Additional information can be found on your “Good Faith Estimate” of services including your therapists tax identification (EIN) number, national provider identification (NPI) number, service codes and fees. Out-of-network benefits may reimburse a percentage of fees paid for each session after meeting a deductible. Out-of-Network reimbursement benefits will vary and there is no guarantee of reimbursement. Be sure you know and understand all your mental/behavioral health and telehealth benefits before we start therapy. Clients are responsible for ensuring all follow up with their insurance company for any and all claims and reimbursements.
In order to receive reimbursement, you will need to meet the requirement of a “medically necessary” diagnosis, which if it applies, would be determined by your therapist, or other professional such as a psychologist or psychiatrist. It is especially important to know that a superbill receipt will include what is considered personal health information such as your diagnoses codes, psychotherapy service codes, date of birth and dates/location of service. Be certain you wish to share that information with your insurance company if you seek out-of-network reimbursement. Superbill receipts are available for clients who are paying full fee rates, discount positions are excluded.
Your Rights and Protections Against Surprise Medical Bills
Notice to Clients and Prospective Clients:
Under the law, health care providers need to give clients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.
- You have the right to receive a Good Faith Estimate (GFE) for the total expected cost of any non-emergency healthcare services, including psychotherapy services. The GFE is simply an estimate and an overview of what it could cost to receive psychotherapy services with your provider.
- You can ask your health care provider and any other provider you choose, for a Good Faith Estimate before you schedule a service, or at any time during treatment.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you have a right to dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate or how to dispute a bill, see your Estimate, call Essential Connections at (470) 202-4852 or visit www.cms.gov/nosurprises.
Please contact me for any additional questions you may have. I look forward to hearing from you!