While there are exceptions, most
therapy, life coaching or consulting sessions are charged at $150.00 per hour (expenses and travel are extra for consulting). Presentations cost a flat fee that ranges from $250/hour to $1500/per diem, depending upon the nature of the presentation.
Normal Payment Plan
Most clients pay by cash or check out-of-pocket (OOP), at the time of service. Occasionally other arrangements are made and clients choose to pay for several sessions in advance, particularly for group participation.
If clients wish to seek reimbursement from their insurance provider (PPO), Ms. Leviton provides a monthly account of sessions and fees paid in the form of a "superbill" which includes the diagnosis and attendance dates. If other forms are necessary, a slight fee may be charged for the service of filling them out.
Twenty-four hour advance cancellation is required for missed session credit; otherwise, clients are expected to pay for all missed sessions prior to scheduling the subsequent session. In accordance with state law, confidentiality is waived when the collection of fees requires legal proceedings, although to date, this has never happened in this office.
Payment Options and Insurance
There are several different way of paying for therapeutic services, however, the length of therapy allowed and the kinds of diagnoses covered under insurance plans can vary greatly. We recommend you contact your provider to discuss the current benefits of your policy and what kind of therapists is covered.
Preferred Provider Organizations (PPO's)
PPO's are insurance plans that contract with networks of providers to supply services. Patients are offered lower cost sharing to use providers on the "preferred" list but can use non-network providers at a higher out-of-pocket cost. Therapists are typically paid on a discounted fee-for-service basis.
POS plans are managed care plans that combine features of pre-paid (or capitated) and fee-for-service insurance. A significant co-payment typically accompanies use of non-network providers. Although few plans are purely of one type, an important difference between a PPO and a POS is that in a PPO plan, the patient may select any type of covered care from any in-network provider, while in a POS, use of in-network services must be approved by a primary care physician.
Most clients choose to pay for therapy from their own resources. There are many reasons one might choose to do this: there is no need to justify or expose reasons for seeking counseling records of diagnoses and treatment are less available to employers or others (they are between you and the therapist unless you request otherwise, or the therapist is under court order to reveal information); clients select the therapist they choose, rather than from a list; therapists sometimes don't accept insurance co-pay because it is lower than their normal fee.
Special Circumstances and Reduced Fees
A few hours each week are reserved for reduced fee clients. Consideration of special need is usually made at the first session and requires substantiation of circumstance.