Good Faith Estimate
What is the investment in your healing?
Traditional Therapy Tiers Investment
Leadership Team – Amber Tolbert, Amanda Enlow
$255 – Individual intake assessment hourly
$300 – Couples and family intake assessment (90 minutes)
$205 – Hourly (individuals, couples, family)
Senior Clinicians – Sam Schweitzer, Jenn Radcliffe, Stacey Surratt, Sydney Estes
$220 – Individual intake assessment
$170 – Hourly individual
$200 – Hourly couples/family
$220 – Hourly ASAM assessment
Resident Clinicians – Victoria Windham, Celena Richards, Annie Morse
$205 – Individual intake assessment
$155 – Hourly individual
$185 – Hourly couples/family
$205 – Hourly ASAM assessment
Group Therapy
$100 per group session
Customized Intensives Investment
Varies depending on healing modalities included and number of healers
Reiki, Yoga, Breathwork, Workshops, Retreats Investment
Reach out for more information
Supervision
$170 per hour – Individual LCAS supervision
$170 per hour – Individual LMSW/LCSW-A supervision
$105 per group – Group LCAS supervision
Why we do not accept health insurance
We don’t believe that all people fit in one box, and we see the individual rather than the label. We also believe that the most effective care includes tailoring each treatment plan to meet the unique needs of the individual – not meet the rigid guidelines of the insurance company. We utilize highly effective modalities such as customized intensives, workshops, and energy work to support our clients in getting faster relief from pain, and these are not recognized by health insurance.
All insurance claims require a diagnosis of a mental health disorder to be considered for payment or reimbursement. While there are certain diagnosable mental health issues that we treat, there are often reasons that people seek therapy that do not require a diagnosis. Examples can include emotional pain stemming from a separation or divorce or coping with the demands of a high pressure job.
When submitting information to an insurance company, the insurance company – not you – decides how many sessions are appropriate for your treatment and the length of those sessions. Private information shared with your insurance company may be stored in the Medical Information Bureau where it can be accessed in the future by other parties such as life insurance companies.
Some insurance plans offer “out of network” insurance coverage. The way this works is you pay for therapy with any out of network provider that you choose and then submit a detailed receipt called a Superbill directly to your insurance company to request reimbursement. We do provide this Superbill for use at your discretion. Please be aware that this still carries a certain amount of risk because you are submitting information about your clinical care. Most insurance plans will request that a diagnosis be included on this Superbill, and not all therapeutic issues are reimbursable. It is your responsibility to communicate with your insurance carrier regarding any out of network coverage you may have and the specifics of that coverage.
We do accept HSA/FSA.
Good Faith Estimate
Disclaimer
This Good Faith Estimate 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, and does not include any unknown or unexpected costs that may arise during treatment.
If you have any questions about your bill, you can reach out to our intake coordinator at any time.
Throughout your treatment, the provider may recommend additional items or services as part of your treatment that are not reflected in this estimate. These would need to be scheduled separately with your consent and the understanding that any additional service costs are in addition to the Good Faith Estimate.
If your needs change during treatment, your provider should supply a new, updated Good Faith Estimate to reflect the changes to treatment, and the accompanying cost changes.
You may contact the health care provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available.
The Good Faith Estimate is not a contract between provider and client and does not obligate or require the client to obtain any of the listed services from the provider.
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.
To learn more and get a form to start the process, go to www.cms.gov/nosurprises or call HHS at (800) 985-3059.
For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call (800) 985-3059.
Keep a copy of this Good Faith Estimate in a safe place or take pictures of it. You may need it if you are billed a higher amount.
Good Faith Estimate for Resident Clinicians
For extended sessions, the extended session is billed according to time. For example, a 90 minute individual psychotherapy session is $155 per hour for a total of $232.50. A 90 minute joint psychotherapy session is $185 per hour for a total of $277.50.
Good Faith Estimate for Senior Clinicians
For extended sessions, the extended session is billed according to time. For example, a 90 minute individual psychotherapy session is $170 per hour for a total of $255. A 90 minute joint psychotherapy session is $200 per hour for a total of $300.
Good Faith Estimate for Leadership Team
For extended sessions, the extended session is billed according to time. For example, a 90 minute individual psychotherapy session is $205 per hour for a total of $307.50. A 90 minute joint psychotherapy session is $205per hour for a total of $307.50.
Good Faith Estimate for Energy Healers
Energy Healers work in 90 minute increments. For example, a 90 minute session is $200 per hour for a total of $300 per hour.
FAQ & Policies
What if I forget to cancel my appointment?
24 hour notice on cancellations is required, without notice, full fee will be charged.
Do you accept insurance?
We are out of network with all insurance companies. We can provide you with documentation to apply for reimbursement.
How often do I have to come to therapy?
Therapy generally initiates on a weekly basis to develop rapport and the treatment plan. Once the foundation is laid, the frequency slowly decreases at a pace you are comfortable.
Do you prescribe medication?
No- we are therapists and counselors, we cannot prescribe medications. We can collaborate with you and your Psychiatrist or Primary Care Physician as a treatment team per your request with proper consents signed.
Do you provide Clinical Supervision?
Yes, Amber Tolbert, Jenn Radcliffe, and Sydney Estes provide clinical supervision for provisionally licensed social workers in North Carolina and South Carolina. Sam Schweitzer, Stacey Surratt, and Sydney Estes provide clinical supervision for LCAS in NC. Stacey Surratt provides clinical supervision for CADC in NC. Please contact us for more information.
What is Community Psychoeducation?
We feel giving back to the community is essential and knowledge is power. Our time and knowledge is valuable and we want to offer that as often as we can to empower others and pay it forward! Please contact us for more information.
