Appointments

Rates:

• $150/50-53-minute individual session

• $150/50-minute parent/caregiver session (without child present)

• $175/50-minute family session

• $75/30-minute parent/caregiver check-in

• $100/hour REAT supervision in-person or via Zoom.

I am also an ESA+ Provider

Rates are reevaluated each January 1st to maintain the health of my practice.

I charge a cancellation fee equal to the cost of your session if you cancel less than 24 hours before your session.

I am considered an “out-of-network” provider and do not accept insurance. To utilize your out-of-network insurance benefits you will be responsible for the full fee at the time of service.

I offer courtesy billing and can submit claims on your behalf for direct insurance reimbursement. I cannot guarantee how much or when your insurance company would reimburse.

Before our first session, please call your insurance company (using the the Member Services number on the back of your insurance card) to check your out-of-network percentage and if therapy is covered.

Tip: Your insurance may allow a single case agreement if out-of-network is not covered. A Single Case Agreement is a one-time contract between an insurance company and an out-of-network provider so the patient can see that provider using their in-network benefits.

If you would like to file on your own, l am happy to provide an invoice called a “superbill” that you can submit to your company. Learn more about how to do that here.

Contacting your insurance company over the phone and asking them the following questions can help you determine your out-of-network coverage:

• Do I have out-of-network mental health benefits?

• What is my deductible for out-of-network coverage?

• Have I met my deductible this year for out-of-network coverage?

• What percentage of each session will I expect to be reimbursed for? (CPT code 90837: individual sessions, 90846: family session without kiddo present, 90847: family session with kiddo present)

• What is the best way to submit claims for reimbursement?

• About how long does it take to be reimbursed?

• Is there a limit on the number of therapy sessions per year?

You will typically need to provide the following information to your health insurance plan to understand how much they will cover and how much you will pay for out of network services.

— Your member ID (found on your insurance card)

— License number of provider. My license number is: LCMHC #14528

— NPI number of provider. My NPI number is: 1316502388

—Provider business address. My business address is 133 E King St. Hillsborough, NC 27278

—An ICD-10 code/diagnosis. Please note that insurance reimbursement requires a diagnosis. Unless your child was given a diagnosis prior to our work together, I often begin with ICD-10 code F43.20 for Adjustment disorder, unspecified.

These sessions are currently full. Please contact me to be added to a waitlist.

I am committed to making therapy accessible to those in need, which is why I offer a limited number of sessions at a reduced rate through a sliding scale and I also partner with Open Path Collective. This allows me to provide affordable care to clients facing financial barriers while ensuring that therapy remains sustainable and effective. If you are interested in accessing therapy through these options, please reach out to discuss availability.

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Open Path Collective sessions are $40-$70 for individual therapy or $40-$80 for family therapy.

These sessions are for those who are uninsured or underinsured (there is no insurance reimbursement through Open Path).

If you are interested in this, please check my profile page on the Open Path site to see if I have an opening and to find details on accessing their network of therapists offering sessions for their reduced fees.

The No Surprises Act was passed in December 2020, under Section 2799B-6 of the Public Health Service Act, with the aim of protecting consumers from receiving unexpected medical bills. The Good Faith Estimate provision of the No Surprises Act federally mandates that healthcare providers must give clients, who don't have insurance or who are not using insurance, an estimate of anticipated healthcare items and services, using what is called a “Good Faith Estimate.” This took effect on January 1, 2022. This new regulation is designed to provide transparency to patients regarding their expected medical expenses and to protect them from surprises when they receive their medical bills. It allows patients to understand how much their health care will cost before they receive services.

What is a Good Faith Estimate?

A Good Faith Estimate is an estimate of the total expected costs of non-emergency healthcare items or services. At Little House Arts Therapy, we offer Good Faith Estimates that project out 12 months in advance. Essentially, your estimate will give you a reasonable idea what to expect in terms of therapy costs for one whole year, based on current rates.

• Intends to offer predictability & transparency in how much clients will be charged for healthcare services prior to their appointment.

• Includes all regularly scheduled appointments (i.e. therapy sessions).

• Does NOT include no-shows, late cancellations, or other services related to crisis care, which by definition are unexpected and cannot be predicted for the purpose of compiling a Good Faith Estimate in advance.

• May also include consultations with client collateral contacts, fees related to paperwork requests, and other legal and administrative fees related to client care, when such items are scheduled in advance.

What are my rights as a client?

You have the right to receive a "Good Faith Estimate" explaining how much your healthcare will cost. 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.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

Make sure your healthcare provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you have a right to dispute the bill. The federal government offers a dispute resolution process for this purpose.

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 or call 800-985-3059.

Good Faith Estimate Disclaimers

The information provided in the Good Faith Estimate is only that: an estimate. Actual healthcare items, services, or charges may differ or change throughout the year, even for long-term established clients.

The Good Faith Estimate is not a contract, and does not bind, obligate, or require any client to obtain healthcare services or items from Little House Arts Therapy at any time.

There are no federal provisions allowing clients to waive their right to a Good Faith Estimate at this time. As such, Little House Arts Therapy is required by law to send all ongoing clients new Good Faith Estimates every 12 months; clients cannot opt-out, and are required to acknowledge receipt and understanding of each new Good Faith Estimate in order to comply with federal law so that we may continue working together.