Glasshouse Effect Psychotherapy Center, PLLC
 

Rates/Insurance

 

 
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Insurance

In TEXAS ONLY, I am on the following insurance panels.

  • Cigna

  • Magellan

  • United Healthcare/Optum,

  • Blue Cross Blue Shield of Texas

In OREGON, I am currently on the following insurance panels.

  • Cigna

  • United Healthcare/Optum

  • Regence BCBS

If you have out-of-network benefits and would like to be reimbursed for the services you receive, I will happy to provide you with a monthly receipt that may be submitted to your insurance company for possible reimbursement.

I highly advise all clients interested in out-of-network reimbursement to please contact their insurance provider for more information. To assist, here are some important questions to ask your insurance company:

  • Do I have out-of-network mental health benefits?

  • Is any pre-approval required before obtaining out-of-network mental health services in order to be reimbursed?

  • If I have out-of-network benefits, will I be reimbursed the full amount I paid or a portion?

  • Do I have a deductible and if so, what is it?

  • What I need to submit for reimbursement"

Understanding your benefits and applying for reimbursement is your responsibility, but I will be happy to answer any questions you may have about this option.


To schedule a free 15-minute phone consultation, contact me here

Consultation


Fee Agreement

Payments are accepted through cash, checks, Paypal, Square Cash and credit cards (Visa, Mastercard, American Express, Discover). All credit card payments are received through SquareUp and Paypal. Receipts will be emailed upon request.

There are various fee options:

a)       $175 for the first 60-75 minute intake session then $150 for each 45-50 minute follow-up session

b)      $570 for 4 sessions (intake session & 3 follow-up sessions) when prepaid at 1st session (all sessions to be used within 60 days) *Savings of $55

c)       $1,130 for 8 sessions (intake session & 7 follow-up sessions) when prepaid at 1st session (all sessions to be used within 120 days) *Savings of $95

d)      $50 for group therapy/session, must have minimum of 4 individuals

e)      $50 minimum for sliding scale (will review case-by-case, must provide proof of income)

f)      If I elect to use insurance, I agree to pay the amount of the copay or coinsurance at the time of service.

g)      If I elect to use my insurance at a later time, I understand that I cannot request a refund prior using insurance rates.


Missed or Canceled Appointments

I understand that all fees for therapy, cancellation and no-show fees included, are due before each session.

I understand that I am responsible for any appointments that are not cancelled at least 24 hours prior to my appointment time.

I understand that if I do not cancel my appointment 24 hours ahead of time, I will be charged $75 fee for the session.

I understand that if I do not show up for an appointment, I will be charged $75 fee for the session.

I understand that as part of the Intake process, I am required to provide Glasshouse Effect Psychotherapy Center with my credit card information (see Credit Card on File and Authorization Form) to keep on file in the event that I should miss or cancel an appointment without 24 hour notice in which my credit card will be charged the cancellation fee.


Forms will be provided via SimplePractice once an appointment for initial visit is arranged.

Forms