Insurance & Fees

Counseling Fees

Please note that initial counseling sessions are 60-minutes in length.  Follow-up sessions are 45 minutes in length unless longer sessions are requested and scheduled in advance.

Our fees are as follows:

• Initial 60-minute session: $175
• Subsequent 45-55 minute sessions: $150
• Additional 30-minute add-on (upon request): $75

Insurance

Services may be covered in full or in part by your health insurance or employee benefit plan. Please check your coverage carefully by calling the member services number on your insurance card and asking the following questions:

• Do I have mental health benefits?
• What is my deductible and has it been met?
• How many sessions per calendar year does my plan cover?
• How much does my plan cover for an out-of-network provider?
• What is the coverage amount per therapy session?
• Is a pre-authorization required from the insurance company?

Note that we are currently only in-network with Blue Cross Blue Shield PPO plans and could change, please contact us to ensure we are in network with your insurance and plan.

Documentation Fees

All documentation is subject to a signed Release of Information on file in our office. Information including an acknowledgement of services will be not be shared without a signed Release of Information Form on file.

• File/Records Request – $100
• Letter Requests – $100
• Case Summary – $100
• Other services upon request

Cancellation Policy

We require 24-hour notice for cancellations or rescheduling requests.  If you do not give 24-hour notice or fail to show for an appointment, you will be charged $75.  For that reason, we urge you to call in advance or take advantage of our Contact Us option.

Payment

Cash, check and credit cards (Visa, Mastercard, Discover) are accepted. Payment is due at the time of service and is typically collected at the beginning of the session.  For your convenience, we also offer the ability to pay from our patient portal.

*** Please note that fees listed here may not be up to date or list all possible services/products.  Please consult a member of Alliance Counseling and Therapy, PLLC for up to date fee schedule.

Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes
  related costs like medical tests, prescription drugs, equipment, and hospital fees.
• Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or
  item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can 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, visit www.cms.gov/nosurprises or email – [email protected].