Rates & Insurance
We are currently in-network with the following insurances and EAP benefits:
Using Your Insurance Benefits For Counseling:
If your plan to use health insurance for your counseling/therapy services, we will do our best to verify coverage prior to starting services. However, understanding your mental health coverage is part of your responsibility to give you the opportunity to make decisions about your health care.
Any responsibility of applicable deductible, copay, and/or coinsurance are set by your specific insurance plan and we at Arevalo Counseling & Mentoring, LLC have no control over what these terms are.
To determine if you have mental health coverage through your insurance carrier, the first step to take is to call your insurance. The Member Services phone number will be listed on the back of your insurance card. Check your coverage carefully and make sure you understand your benefits and options. Some helpful questions to ask are:
What are my mental health benefits?
Do I have an annual deductible to pay before my plan will pay for sessions?
What is my copay amount?
How many counseling sessions does my plan cover?
Is a referral required from my primary care physician?
Do I need a referral or prior authorization to start counseling?
Note: It is always possible that your insurance company may not cover your treatment if they deem the services not medically necessary. In the event that your insurance does not cover the services you received, it is your responsibility to pay the session fee.
Employee Assistance Program (EAP):
While using your EAP benefits provides you access to the same high quality care and services we provide, EAP services are intended for preventative care for situational needs which are short-term. They provide limited number of authorized sessions and EAP is not intended for pre-existing, complex, or on-going mental/emotional health needs. If longer term counseling or specialized services are needed beyond the authorized EAP sessions, the extended treatment will be subject to the terms of your health insurance, including any applicable deductible, copays, and/or co-insurance. If you would like to continuously use EAP services and your insurances authorizes additional sessions, you may do so by meeting with a different provider in the community.
Opt-Out of Insurance:
If you have insurance and elect to opt-out of using your insurance, you must sign an Election to Self-Pay form. By signing this form, you understand that we will not be filing a claim with your insurance company and any payments you make will not be credited towards satisfying any deductible under your health insurance plan. We do not provide a “super-bill”.
Self-Pay Session Rates:
Initial Assessment: We offer an initial assessment session to get to know you, understand your concerns, and discuss your counseling goals. The rate for the Initial Assessment is $200.00 for a 60 minute session.
Individual Counseling: Our individual therapy sessions are 45-55 minutes in length and are priced at $150.00 per session. Typically, sessions are weekly or bi-weekly.
Couples/Family Counseling: Couples and Family sessions are 55 minutes in length and are priced at $165.00 per session. Typically, sessions are weekly or bi-weekly.
Mentoring Sessions: Individual Youth Mentoring sessions are 30-40 minutes in lenght and are priced at $30.00 per session. Frequency of sessions will vary depending on Mentorship Agreement.
Reduced Rates For Counseling:
We understand that financial circumstances can vary, and we are committed to doing our best in making therapy accessible and affordable. We offer a limited number of reduced rate spots based on financial need through OpenPath. If you believe you may qualify for reduced rates, please let us know during your consultation.
Good Faith Estimate:
Beginning January 1, 2022, federal laws regulating client care have been updated to include the “No Surprises” Act. Under the law, healthcare 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 called a “Good Faith Estimate” (GFE) explaining how much your medical care will cost.
This GFE shows the costs of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created.
The GFE does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill.
There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount.
For questions or more information about your right to a GFE or the dispute process, visit www.cms.gov/nosurprises. To learn more about and get a dispute form to start the process, please go to www.cms.gov/nosurprises or call (800) 985-3059.
Keep a copy of this GFE in a safe place or take pictures of it. You may need it if you are billed a higher amount.
Cancellation Policy:
To avoid paying the full counseling session fee, please provide 48 hours’ notice if you need to cancel or request to reschedule appointment.
Payments:
We accept cash, check, and credit/debit card payments via Square for in person sessions. We accept credit/debit card via Square for online sessions.