Insurance and Fees

Session Length and Rate
Standard sessions are 53-minutes long. No fee will be charged for short (less than 10-minutes) telephone consults. Telephone consultations longer than 10 minutes will be billed at the face-to-face session rate, to be paid at the next session.

Individual & Couples/Family therapy (Telehealth, telephone, or in-person):

$200 / 53 minute session

$400 / 106 minute session

 

Consultation with Licensed Therapists (Telehealth, telephone, or in-person):

$200 / 50 minute session

Additional Pricing Policies:

As a rule, Emerge Counseling & Consulting does not take on new clients who are seeking documentation for the following situations:

  • Court cases of any kind (e.g., an open court case, probation, lawsuits, etc.)

  • Assessment (e.g., fitness for service, employment, medical procedures, study abroad, comfort or therapy pet, etc.)

  • Academic reasons (e.g., seeking an Incomplete in a course, fitness to return to school or work, completing therapy as a course requirement)

  • A new or pending short/long-term disability claim

  • Emotional support, comfort, or therapy animals

  • Any other situation in which a third party needs documentation from a therapist on behalf of a client.

 

It is understood, however, that these situations may arise during the period in which a current client is seeking treatment or after treatment has been terminated. In such cases the proper release need to be signed then following fees will apply:

  • Preparing letters for third parties (includes case review, consultation, printing/mailing): $200 per hour

  • Completing forms for third parties (includes case review, consultation, printing/mailing): $200 per hour

Insurance

I am only paneled with Maine Community Health Options (MCHO). I do not bill or work with any other insurance provider. You should check to see what your coverage is and any limits to services, such as Telehealth.

 

If you have an issue that meets "medical necessity" I can directly bill MCHO, however, there are some things to consider before doing so:

 

  • Confidentiality: Insurance companies require information about the need for treatment to process your claim. This requirement could include detailed information about "the problem", its history, current symptoms, work and family life dynamics. This information is then stored in large information systems.

  • Control of Treatment: Managed care companies decide if treatment is medically necessary, what kind of therapy is approved, and when it should end. This can limit what we do and how we do it.

  • Psychiatric Diagnosis: Health insurance pays for the treatment of an illness. So, if you choose to use your insurance you will receive a diagnosis (unless you do not meet criteria, which impacts medical necessity).

Cancellation Fee
Please understand that when you make an appointment, I am reserving that time for you. If you miss an appointment, that is time that could be spent with another client therefore it is necessary for me to charge for missed appointments. There will be no charge if notice is given 24-hours before the session, however you should expect that less than 24-hour notice of cancellation will be billed directly to you at my full session fee of $200/53-min session.  This is an out of pocket expense for everyone - even if you use MCHO insurance, it is not covered or billable to your insurance.

Super Bills and Good Faith Estimates

I provide Super Bill receipts upon request.  If you plan to seek reimbursement from an insurance provider I am out-of-network (OON) with, a Super Bill shows identifying information about the client and the codes affiliated with your diagnoses and services rendered. I do not bill as an OON provider for you, nor do I communicate or interact with your insurance provider. Super Bills have confidential information and will be sent to you via the Patient Ally portal in my documentation system. You will need to complete a simple step to receive documents this way.

As of January 1, 2022, Health Care Providers are required to provide a “Good Faith Estimate” of expected charges for counseling services so there are no surprises. Besides what you've read above, my Disclosure Statement has always informed clients of the cost of services and how the client’s payment is processed.  Our assessment process will reveal the frequency of sessions recommended to reduce symptoms and meet goals. I am transparent throughout the therapy process and if events occur that worsen symptoms leading to a different recommendation for frequency, we will openly discuss this. Likewise, if you are meeting goals and following through with "homework" between sessions consistently, I will suggest reducing session frequency.