Investment

Therapy is an investment in your future. I offer a 15 minute introductory phone call at no cost to you. During this call we will discuss what you are looking for in therapy, scheduling, and any questions you have regarding my practice. My session fee is $150 per 50 minute session. However, some clients find that they get more out of therapy when they have longer sessions. Because of this, I also offer a 100 minute session for $300. 

 

Clients are asked to pay for the session at the time of service. I accept payment in the form of cash or debit/credit card (3% service charge added when using debit/credit card).

 

In our current economic state, many find the cost of therapy to be overwhelming. I defintiely understand this feeling. However, many clients have costs far greater than that of therapy. Costs can include things like depression, anger, harm to your child, or the ending of a valuable relationship. When contemplating whether or not therapy is for you, consider what the cost may be if you choose not to attend therapy. 

Insurance

Currently I am a provider for Cigna, Health Plan of Nevada, Behavioral Healthcare Options, Beacon Health, and Sierra Health and Life. Please contact your insurance provider to see if you are eligible to use your insurance for therapy services. Unfortunately I am not a provider for Medicare/Medicaid.

Limitations that insurance companies put on therapy include the following:

  • Insurance companies require that I diagnose clients with a mental disorder. In the absence of a diagnosis, insurance companies will not pay for therapy. I do not believe every case warrants a mental health diagnosis. Many people seek out therapy for issues that aren't "diagnosable." I also find that a number of my clients are not comfortable with being labeled in this way. In addition, even if a client does have a diagnosis, not all conditions are covered.

  • Loss of privacy.  Insurance companies require that I submit details of a client's therapy - including their diagnosis - in order to reimburse for services.  In turn, this sensitive information is registered with medical databases. This can potentially lead to a client being denied health insurance or life insurance at a later date on the basis of having a "pre-existing condition."

  • Limitations on visits. Some insurance companies place limits on how many times a client can be seen in the course of a year. In addition, insurance companies also place limits on the length of a visit: 45-50 minutes being the standard length of a counseling session. As mentioned above, some clients prefer longer sessions, which insurance companies do not allow for. Insurance companies also put limitations on who can attend therapy sessions. (i.e. they will pay for an individual session, but not for a couple or family session.)

  • Insurance companies frequently require that visits be pre-authorized as a requirement of paying for therapy. Some insurance companies can be quite slow in processing this paperwork, which can result in delays for the client seeking therapy.

  • Counseling must occur face-to-face. While I prefer to work with clients face-to-face whenever possible, some of my clients are not always able to come into the office. Insurance companies do not allow for billing sessions on the phone or via Telehealth.

‚Äč© 2019 by Brianna Marshall, M.S., LMFT