Your questions, answered.

We are considered “out-of-network” with insurance providers. You will be responsible for paying for each session at the time of your session. We will gladly provide you with a “superbill” so that you can seek reimbursement from your insurance company. Your insurance company may or may not defray the cost of counseling. You may call the member services number on the back of your insurance card to inquire about their out-of-network coverage for outpatient mental health services. Please note two important things.

1. In order to file with your insurance provider, you will receive a diagnosis that becomes part of your permanent health record and may or may not have an impact to future coverage if you change insurance.
2. Family and Couple Counseling is not covered by insurance companies in the majority of situations. A troubled relationship can certainly affect your mental health or worsen any preexisting mental illness, but a “troubled relationship” in and of itself is not considered a mental illness. Therefore, counseling for maintaining your relationship(s) is not viewed the same way other types of mental health counseling are. In the context of couples and family counseling, (1) no one person is the client (both/all are), (2) a diagnosis can’t be applied to a relationship (only to an individual), (3) there is not a true CPT Code (current procedural terminology) for relationship therapy, and (4) it is considered a non-covered/out-of-pocket service by commercial insurance companies. Sometimes, people hear that “Family Psychotherapy” is covered by insurance. This is confusing language. Individual Counseling with or without a partner or family member present is called “Family Psychotherapy (with or without patient present)” in CPT Code language (90846 and 90847). There is much confusion around this code because of its name; however, it is to be utilized when the client is an individual who has (1) a billable mental health diagnosis, and (2) has given authorization for others to be involved in their treatment (for minors, parents must be included). These sessions are not intended for making relationships mutually better or helping a partner or family member address any of their problems or needs. Rather, the focus of these sessions is to utilize the support of a partner or family member to help the client achieve their individual treatment goals. Commercial insurance companies consider this type of therapy to be a covered service.