Check your therapy cost with insurance

No. That number is an estimate, built from the benefits your insurance reports when we verify your plan. Your final cost is set by your insurer when it processes the claim for your session. If the claim comes back lower than you paid, we refund the difference. If it comes back higher, we invoice the difference and charge the card on file. Either way we email you to explain the change.

A copay is a flat amount you pay per session. A deductible is an amount you pay yourself each year before your plan starts paying. Coinsurance is a percentage of the session cost you pay once the deductible is met. A plan can use more than one, which is why a family can pay the full session rate for the first few visits and much less after that.

We keep a card on file and charge it about 24 to 48 hours after each session takes place, never before. A card on file is required to join a session.

Usually one of a few things: your deductible had not been met, so your plan applied it first; your plan reports one copay for a specialist visit and a different one for behavioral health; your coverage changed; or the claim processed out of network. The email we send with each adjustment names the change, and your insurer's explanation of benefits shows how they processed the claim. Send us the charge and we will go through it with you.

The first appointment is a longer evaluation and bills under a different code than a follow-up session, so most plans apply a different rate to it.

Plans apply benefits per member rather than per family, and what gets billed depends on what each child is seen for. The usual causes are where each child sits against the deductible and a difference in the type of visit.

Yes, and you do not have to ask. Once your insurer processes the claim, we refund the difference to the card on file and email you about it.

Sessions are charged about 24 to 48 hours after they take place and adjusted once the claim is processed, so we are not able to hold billing until then. If a balance is hard to carry, tell us: we can hold it while claims are processing, or set up a payment plan.

Give us both. Your primary plan is billed first and the secondary is billed for what remains. Tell us as soon as you have a secondary, because we can hold your balance while the claims process, and we can send superbills to help you get reimbursed.

We can still see you. You pay the cash-pay rate, and we give you a superbill to submit to your insurer for out-of-network reimbursement.

Therapy sessions, psychiatric medication management, and ADHD and autism testing.

Coverage for ADHD and autism testing varies by plan. We verify your specific benefits and show you an estimate before you book.

Your estimate shows it. When we verify your benefits we ask your insurer how much of your deductible is left for the year, and the coverage summary reports that amount alongside your plan’s full deductible. Insurers do not always return it, and when yours does not we say so rather than guess, and your estimate may show the full session cost. Either way, what you finally owe is set once your insurer processes the claim.

It depends on your plan. If your plan has a flat copay, it usually applies the same way no matter how long the session is. If your plan applies a deductible or coinsurance, cost can vary, because 30, 45, and 60 minute sessions bill at different rates. Your estimate prices each available session length separately, so you can see the difference before you book.

Sometimes an insurer does not return enough for us to price your plan on the spot. You can still book. Our care team verifies your benefits with your insurer by hand, and you always get your estimate before your first session. If the verified amount does not work for you, you can cancel at no cost.

Some plans cap the number of visits they cover in a year or ask for authorization after a certain number, and some do not. We check what your plan reports when we verify your benefits and tell you if a limit applies. More than one session a week is possible when your clinician recommends it and your plan covers it.