Fees & insurance —

Plain numbers

What it costs, how insurance fits in, and what you'll actually pay.

The fees 01
Intake Free 20 minutes, by video. See if it's a fit.
Session $195 50 minutes, video or in person.
CardHSAZelleCash or check
Using insurance 02

Out-of-network, with a superbill.

I'm an out-of-network provider. That means you pay me directly, then your insurance pays you back for part of each session, if your plan has out-of-network mental health benefits. Many PPO plans do.

It's a little more admin than a copay. In return you get a therapist you chose, and no insurer deciding how many sessions you're allowed.

Step 01

You pay per session

$195, charged after each session. HSA cards work.

Step 02

I send a superbill

An itemized receipt with the codes your insurer needs, sent to you each month.

Step 03

Your plan pays you back

You submit it through your insurer's site or app. Reimbursement goes straight to you.

Five questions for your insurer

Call the member number on your card, or check your plan documents. Ask about outpatient mental health, out-of-network.

  1. Do I have out-of-network outpatient mental health benefits?
  2. What's my out-of-network deductible, and how much of it is left?
  3. After the deductible, what percentage do you reimburse?
  4. What's your allowed amount for CPT code 90837?
  5. Do I need pre-authorization, and how do I submit a superbill?
Estimate your cost 03

What a session will really cost you.

%
The share your plan pays back after the deductible. 50–80% is common.
$
How much of your out-of-network deductible you haven't met yet this year.
$
Insurers reimburse a percentage of their own rate, which may be under $195. Leave as is if you don't know.
Your cost per session $78 Once your deductible is met.
Paid back to you $117 Per session, from your insurer.
Before that — Your deductible is already met.

An estimate, not a quote. Your plan's terms decide the real number. Nothing you type here is saved or sent anywhere.

The fine print 04
Cancellations

[Cancellation window and fee, e.g. 24 or 48 hours' notice]

Good Faith Estimate

If you're paying out of pocket, you have the right to a written estimate of expected costs before we start. Just ask.

Superbills

Sent monthly, or on request. Include everything your insurer needs to process a claim.

Questions

Email sarasmartineau@gmail.com or bring them to the free intake.

Start with
twenty minutes

The intake is free. Ask anything about cost there.

Book a free intake

If you are in crisis, call 911.