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New Clients

&

Cost

​New Clients

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STEP 1: Please fill out our contact form to provide information on what brings you to therapy. You may include a preferred therapist. We will then reach out to you to get the scheduling process started. 

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STEP 2: Completing electronic paperwork. Once a session is scheduled, we will send you a secure link via SimplePractice HIPAA compliant platform to complete all paperwork. Our team will also complete a courtesy insurance benefits check. We also encourage you to be familiar with your benefits to know of any out-of-pocket expenses to expect.

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All paperwork must be completed 48 hours prior to your initial session. This helps the therapist to read over your intake form and prepare for your session.​​​

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​​Cost

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​INSURANCE:

**For clients using one of the insurances below, we accept the contracted rate for that insurance. We check benefits prior to a confirmed appointment as a courtesy.

We accept the following insurances:
 

  • Anthem Blue Cross Blue Shield 

  • Medicaid

  • UMR

  • United Healthcare

  • Quartz


*We also bill out-of-network for other insurances. We will provide you with a superbill that you can submit to your insurance. 

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PRIVATE PAY:

Our initial session rate is $160 

All subsequent sessions are $150 â€‹

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WHEN TO PAY:

Insurance copayments/ coinsurances/ deductibles are due at the time of service and are charged with the credit card on file. â€‹

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Private pay is due at the time of service and the credit card on file will be charged. â€‹

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All clients are required to keep a credit card on file. Your card will be charged for a no-show or cancellation that occurs without 24-hour notice.​​

​Cancellation Policy​

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We prioritize our clients by holding space for each person we see. When clients cancel an appointment, our clinicians offer that space to other clients who need an appointment that week. When clients cancel less than 24-hours prior to the session, or no show, other clients miss out on an opportunity to be seen.

If you would like to cancel an appointment, we ask that you do so with your provider with at least 24-hour notice. Anyone canceling an appointment with less than a 24-hour notice will be charged a partial session fee of $50 and $100 for a no-show fee. Insurance does not cover no shows and late cancellations, so it is the client’s responsibility to pay. We will charge the credit card on file for no shows and cancellations within 24-hours of scheduled session.

 

With that said, we understand that life happens, therefore we provide one waived late cancellation per year.

Thank you!​

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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.

Please notify us if you would like to receive a Good Faith Estimate before initiating services at Cup of Thoughts Therapy, LLC.

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