Policies and Fees

Appointment Policies

Our appointments are a commitment to our working together in resolving the concerns that you have brought to therapy. We agree to meet regularly (or in some cases, as needed) and commit to being on time.  The reality of living in a dense urban environment is one that we have to contend with, and fortunately modern technology affords us the ability to be aware of traffic issues from devices we tend to carry in our pockets, and still there are times where fate will interfere.

If you are late, we will probably be unable to meet for the full time, as likely there will be another appointment after yours, if that is the case we will try and make the most of our time.  In the event that your therapist does not have another appointment, they will determine if the full duration session can be held.

If your therapist is ever unable to start on time, we ask your pardon, and assure you that the delay was unforeseen. We also promise you that you will receive the full time agreed to that day if possible.  If it is not possible, the missed time added to your next appointment, or the session fee will be adjusted for the missed time.

New Clients – The Diagnostic Intake Appointment

The first time we meet in a therapeutic context, there will be some paperwork to complete including a review of documents that the state and governing agencies require me to review and confirm your understanding of.  We will have an open discussion of your needs, intentions, and concerns. This will guide our time together, and inform future scheduling of regular appointments.  If you are using insurance, or seeking out of network reimbursement I will also be assessing for a clinical diagnosis at this time.

  • For individual counseling this meeting will be between 60 and 90 minutes
  • For family or relationship counseling this meeting will be between 75 and 110 minutes
  • For Hypnotherapy clients this will be between 60 and 90 minutes, including a brief induction to ascertain if hypnotherapy is right for you

Regular Appointment Scheduling

Following the intake, we will usually meet for sessions scheduled at regular intervals, while I am happy to be flexible, I have found that therapy is more effective when it occurs at a regular day & time and day each week.  Depending on our discussion in the initial consultation, the frequency and length of your regular sessions may be adjusted, the lengths of normal sessions are:

  • 40 minutes for brief sessions (If your insurance does not allow the standard hour)
  • 55-60 minutes (the standard hour, for individual clients)
  • 75-120 minutes for extended individual sessions, Crisis, Family or Relationships (The exact length will be discussed in our initial appointment)
  • Other session duration may be chosen with your therapist, or for group therapy

Canceled and Missed Appointments

The scheduled time for your appointment is set-aside for you, in the event that we cannot meet it is unlikely that I can make the time available to another with less then a weeks notice, so I ask you to notify me of planned cancellations as early as possible so that I may provide that time to someone else.  If cancellations with less than a weeks notice become frequent we reserve the right to charge a rescheduling fee, clients will be made aware prior to the fee being assessed.

If you are unable to attend a session for unplanned reasons, please inform me at least two business days in advance. If you miss a session without canceling, or if you cancel with less than two business days notice, I will have to bill you for full session fee, clients paying with insurance please understand that your insurance provider will not pay for a missed session, and you will be billed the full standard rate.  When necessary, cancellations should be made by phone, and may be made by leaving a voice mail or through the scheduling desk.  Emailed cancellation may be accepted, however email is generally only checked on business days, and should never be relied on for time sensitive requests.

Appointment Reminders.

Clients will normally receive a reminder of upcoming appointments via email and/or text message 1 day prior to any scheduled appointment, once we have your information on file.  You may opt out of these notifications on your new client paperwork, during any appointment, or through your account on MyTherapyPortal.

Appointment Packages.

Appointment packages are available in bi-weekly or weekly packages, providing 2 or 4 sessions per-purchased at a savings up to 25% off for clients seeking services who are; not covered under insurance that we accept, do not qualify for our sliding scale options, or who chose to exercise the clients right to request no records as provided under WAC 246-810-035(2).

Therapy groups, Psycho-educational sessions, and when offered special packages such as a ‘Healthy and Happy for the Holidays’, ‘Relationship Checkup’s’ or ‘5 Conversations before Marriage or Moving In’ may also be purchased, often at a discounted rate at certain times of the year.  Packages are generally not covered by insurance reimbursement, or will be billed as individual sessions when insurance can be used.

Our Current Rates and Fees By Provider.

Our current regular fees being revised
and will be posted during Q2 of 2019.

Materials

Some therapeutic techniques may involve work books, tests, measurements, manuals or other materials.  We will always discuss these materials prior to their integration into your therapy, materials provided by the therapist that are not handouts printed in the office will be billed separately from your session fees, and are not always covered by insurance.

Billing Policy

Most clients elect to pay for services using a credit or debit card, Indigo Mental Health partners with an industry leading practice management and payment servicing company that offers a secure ‘card on file’ system that allows me to accept electronic direct billing for clients with credit/debit/FSA and HSA cards. Having a card on file allows us more time in your session to focus on you.  I can also accept these cards at time of service for clients paying in session, however this does consume some of our time together.

For clients who prefer to pay in cash, or would rather not use automatic payments, your payment for each session will be collected at  the beginning of the session.  We can also schedule your next session at this time, however to simplify scheduling I recommend setting up recurring appointments.  I have found that this arrangement helps us stay focused on our goals, and therefore it works best.

Other payment or fee arrangements must be worked out before the end of our initial intake, or in advance of a change in arraingments.

Indigo Mental Health PLLC is equipped to take the following forms of payment:

  • Consumer Credit Cards (MasterCard, Visa, Discover, American Exprss)
  • Debit Cards (ATM cards that also carry the MasterCard or Visa logo)
  • HSA and FSA Cards that also carry the MasterCard or Visa logo
  • Cash
  • American Express Affinity Cards, and Corporate/Business cards, or any Foreign Issued Credit Cards are accepted if they clear processing,  however due to additional fees for these cards there will be a 4% service charge for their use, and they not eligible for recurring billing at this time.
  • We do not currently accept EBT or other benefits cards, or payment by check.
  • Regarding Insurance:
    I am currently unable to accept Medicare, Medicaid, or Washington Apple Health Plans (Except Coordinated Care)
    I am currently in the continuing process of selecting insurance panels / provider networks to join, as I enroll with these networks you can view my current Insurance Participation.
  • Refunds of Over Payments:
    In the event of an over-payment (such as the addition of insurance, or payment for a session prior to the processing of insurance) we will refund the balance due, after subtracting co-payments, once insurance payments have been confirmed. Refunds will be less any transaction processor fees unless the charge was due to our negligence.  You may also opt to use the balance as a credit toward future co-payments or non covered services.

As part of our commitment to social justice and making mental health care available to those who may due to income be unable to afford it, a portion of our scheduled sessions are made available at a subsidized fee based on individual need and circumstance, If you are interested in being considered for one of these subsidies or if we are working together and you become unemployed please discuss this when you schedule your Initial Consultation, or at your next session.

In respect for our nations uniformed service members or recently discharged service members we have packages of appointments that offer a 30% reduction in fees available, as our way of honoring the sacrifices of your family, and saying thank you for your service.  Prior to the use of these packages Indigo Mental Health PLLC reserves the right to verify your eligibility using either your Common Access Card (CAC) or your Uniformed Services ID Card. Alternately the letter produced by the Department of Defense Service Members Civil Relief Act (SCRA) website will be accepted.