Your mental health information (including diagnosis) does not go on your permanent medical record, which is required through insurances.
We are not required to provide you with a diagnosis, which insurances require to prove "medical necessity".
You will not receive a surprise bill due to lack of reimbursement from your insurance. We have seen too many times where the insurance does not reimburse for services for many reasons, even after we have correctly completed the paperwork. Due to this unpredictability, we have chosen to not accept most insurances to prevent you from having this added stressor to your list.
You have full control over the frequency and length of services, not your insurance.
Private pay-based clinicians often specialize in their services, whereas clinicians in insurance contracts are often generalists to meet the contract requirements.
With our agency, we charge $100 per 50-minute individual session, $120 per 50-minute couples session, and $150 per 90-minute couple/family session.
The fees charged cover peripheral services for clients, including phone calls, texts, emails, support letters, research, consultations, and referrals as necessary. These services also help to ensure your treatment is tailored to your specific needs.
We are currently contracted with Claremont EAP for their First Responder Resource Program.
The number of sessions provided is determined by your department's contract with the agency.
Claremont's EAP services can be utilized by the responder, or any immediate family members, including children under the age of 26 no matter where they reside.
These services can be used for: work-related stress, personal life stress, exposure to trauma, depression, anxiety, adjustment issues, relationship issues, family dynamics, and many other personal reasons.
To utilize your EAP sessions, you will need to contact Claremont directly. They will let you know how many sessions you have available. You can request to work with Alisha Sweyd and they will send the referral to us.
To contact Claremont EAP, call 800-834-3773.
If you have a PPO plan, your insurance may be able to reimburse you for the sessions as an out-of-network provider cost. We can provide you with the proof of service to assist you with your reimbursement. If you choose to apply for reimbursement through your insurance, please understand that the medical information necessary to submit this to your insurance will include your diagnosis and will go on your permanent medical record.
When considering using your insurance for services, you should always begin by contacting your provider and asking the following questions: What are my mental health benefits? What is the coverage amount per therapy session? How many therapy sessions does my plan cover? How much does my insurance pay for an out-of-network provider? Is approval required from my primary care physician?