Fees

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Fees

Breathing Through Counseling & Wellness Services currently contracts with the
following insurance providers:

Lyra : Prior to scheduling an appointment please contact Lyra to verify that you or your child is eligible for services, your co-pay, and deductible, if any.  Please note: It is the responsibility of the client or client’s parents to ensure that they continue to remain eligible with Lyra at the time that the service is rendered.

Out of Network: For all other insurance providers, Breathing Through Counseling & Wellness Services is considered an out of network provider. This means that we do not directly bill insurance companies that we are not contracted with. Therefore, all costs are paid for by the client or their representative at the time of service. Some insurance providers have out of network benefits, which means they may reimburse some of your out of pocket cost. To inquire about out of network benefits, please contact your insurance provider directly. Further down the page, we have outlined some questions that you may find helpful to ask your insurance provider when exploring out of network benefit.

Fees:

• $185 per initial intake/assessment (50 minutes)
• $160 per individual session (50 minutes)
• $160 per parent coaching session (50 minutes)
• $225 per family session (60 minutes)
• $225 per supervised visitation (60 minutes)

Payment is due at the time of service, at the beginning of the session, in the form of cash or check. Receipts provided upon request.

Out of Network Benefits:

It may be helpful for you to find out if you have out of network benefits. Depending on your current health insurance provider or employee benefit plan, it may be possible to seek full or partial reimbursement for the cost of the session(s).

When exploring out of network benefits we recommend asking the following questions to your insurance provider:

● Does my health insurance plan include behavioral health benefits?
● Does my health insurance plan provide coverage for out-of-network
providers? If so, what does that process look like and what is required?
● Do I have a deductible? If so, what is it and have I met it yet?
● Does my plan limit how many sessions per calendar year I can have? If so,
what is the limit?

Please note the following: As we do not bill insurance providers, with whom we are not contracted with directly, payment is due at the beginning of each session. Fees are payable by cash or check. Upon your request, a receipt (also referred to as a super bill) can be provided. On that receipt, there is a section for what’s called a CPT Code and a diagnosis code. If you are deciding to submit this to your insurance to seek possible reimbursement, we would include both the CPT Code and insurance code for your diagnosis.

It is important to know that while insurance can lower your cost, insurances typically require we make a clinical diagnosis. This diagnosis becomes a part of your permanent medical record and may have current or future implications. This process is completely up to you. We are happy to discuss the pros and cons of utilizing out-of-network benefits.

Good Faith Estimate Notice:
You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.

You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.