Insurance & Self-Pay Options

We offer both insurance-based services and self-pay options, depending on what works best for your needs, preferences, and situation. We believe therapy should be accessible. If cost is a concern, please reach out—we’re happy to talk through options and find something that feels manageable for you.

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Self-Pay / Pay-What-You-Can

Standard Rate: $150/hour

Many clients choose this option for the added flexibility and privacy it provides.​

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Payment Options

HSA/FSA cards, cash, check, credit cards and Venmo are accepted for self-pay options.

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Benefits of Self-Pay:

• Sessions guided by your needs and goals

• Greater privacy; a diagnosis is not required

• Flexible scheduling, including extended or more frequent sessions when needed

• Ability to focus on multiple areas of life, not just one concern

• Sessions remain off the insurance record

For some individuals, especially those working through complex or deeper experiences, longer sessions (such as 90 minutes) can be more supportive and effective.

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Sliding-Scale / Pay-As-You-Can

If $150/hour isn’t workable, please reach out. We offer flexible, pay-what-you-can options when possible, with the goal of making therapy accessible while sustaining the practice.

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Additional Support Options (Self-Pay)

For clients seeking more flexibility or additional support, self-pay allows for expanded options when available, including:

• Extended or longer sessions

• Additional check-ins or phone calls

• Support between sessions

• Occasional after-hours or urgent sessions

These services can be arranged as needed and are billed separately. These services are not available for Medicaid policy holders due to coverage limitations.

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On-Site Equine Sessions

For clients with their own horses, on-site sessions may be available as a specialized, self-pay service.

Working within the relationship you already have with your horse can provide a unique opportunity for deeper insight, connection, and therapeutic support.

• Available for self-pay clients only

• Limited to a defined travel radius

• Time is billed at the standard rate, including travel time (from departure to return)

• Offered based on availability and clinical appropriateness

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Superbills (Out-of-Network Reimbursement)

For clients using insurance plans we are not in-network with, superbills are available upon request for potential out-of-network reimbursement.

• A diagnosis is required for superbills

• Please request this in advance so the appropriate documentation can be prepared

• Clients are responsible for checking with their insurance provider regarding out-of-network benefits and reimbursement eligibility

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Using out-of-network benefits allows for greater flexibility in session length and frequency while still offering the possibility of partial reimbursement. Superbills allow you to seek reimbursement directly from your insurance company while maintaining the flexibility of self-pay. In most cases, communication with the insurance company is handled by the client unless additional documentation is formally requested.

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Reimbursement amounts vary by plan and are not guaranteed.

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Using Insurance

If you plan to use insurance, we are in-network with:

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• Medicaid

• CHP+

• United Healthcare

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Through Alma Billing:

• Aetna 

• Anthem/BCBS

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HSA/FSA cards are accepted and can be used similarly to self-pay, giving you flexibility in your sessions while still utilizing your health benefits.

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Insurance can be a helpful option for many clients. It’s also important to understand that insurance services are medically-based, which means they come with specific requirements.

• A mental health diagnosis is required

• Treatment must meet medical necessity criteria

• Session frequency is often expected to be consistent (typically weekly or bi-weekly)

• Coverage is limited to scheduled session time only

Insurance does not cover additional services outside of sessions, such as extended communication, crisis support outside scheduled appointments, or other time spent beyond the session.

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Whether you choose to use insurance or self-pay, the goal is the same—
to create a space where you feel supported, understood, and able to do meaningful work.