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HOW DO YOU RECEIVE PAYMENT?
To eliminate the awkwardness of collecting payment after a session, payment information is securely stored electronically, and your account will be charged automatically after each session. We accept cash, American Express, Discover, Mastercard, and Visa credit and debit cards. FSA and HSA debit cards with the Visa or Mastercard logo are also accepted. Sorry, no checks, or electronic transfers (e.g., PayPal, Venmo, Zelle, etc.).
WHAT ARE YOUR FEES?
The amounts listed below may differ from what your insurance plan pays:
$250 Initial Diagnostic Evaluation, 60-90 minutes (90791)
$25 Interactive Complexity (Communication Intervention) (90785)
$250 Psychotherapy, 16-37 minutes (90832)
$250 Psychotherapy, 38-52 minutes (90834)
$250 Psychotherapy, 53 minutes or longer (90837)
$250 Family or relationship therapy without client present, 26-50 minutes (90846)
$250 Family or relationship therapy with client present, 26-50 minutes (90847)
$250 Psychotherapy for crisis, first 60 minutes (90839)
$250 Psychotherapy for crisis, each additional 30 minutes (90840)
$65 Case management, each 15 minutes (rounded up) (T1016)
$250 Behavioral health screening (T1023)
$375 Extended relationship therapy, 80 minutes (RELX)*
$150 No show or late cancellation fee, each occurrence (NSLC)*
* Note that these fees are not covered by health insurance and will be charged to the card on file.
To get a better idea of what other providers in the area charge for mental health counseling, check out the Fair Health Consumer website. On the site, you can enter your ZIP code and a CPT code to see what the average cost for services are in your area. You'll want to check the following CPT codes:
90791 Initial Diagnostic Evaluation
90834 Psychotherapy, 38-52 minutes
90837 Psychotherapy, 53 or more minutes
90847 Family or relationship therapy, 16-50 minutes
A full explanation of our fee structure and policy can be found in the Payment Policy and Fee Agreement that's included with intake documents. Also see "A Note to Our Clients" below.
DO YOU OFFER A SLIDING FEE SCALE?
We have limited sliding-scale appointments available for individuals paying out of pocket and whose household income is below 200% of the most recently published U.S. Federal Poverty Guidelines.
Under current Oregon and Washington state laws, Medicaid participants cannot pay out of pocket for covered services and are therefore not eligible to utilize the sliding-scale option.
Insurance
Services may be covered in full, or in part, by your health insurance or employee benefit plan. Prior to your first visit, you may want to check your coverage by calling the customer service number on the back of your insurance card. Please check your coverage carefully by asking the following questions:
Do I have mental health benefits?
Does my plan have a carve out specifically for mental health? If so, what is the name of that plan?
Is TeleHealth covered or do I need to use a specific provider or service (e.g., Teladoc or MDLive)?
What is my deductible and has it been met?
How many sessions per calendar year does my plan cover?
Is my therapist covered as an in-network provider?
What is the coverage amount per therapy session?
How much does my plan cover for an out-of-network provider?
For couples or relationships, does my plan cover couples/relationship counseling where the focus is on the relationship?
Insurance can sometimes be difficult to navigate. If you have questions, please reach out to our office and we will put you in contact with the person who does our insurance billing.
Clients are responsible for payment for services. Our office bills insurance as a courtesy for our clients. If your therapist is not in your insurance network, you are then responsible for the full cost of the session. A "SuperBill" will then be provided to you so you may attempt to seek reimbursement directly from your insurer. Community Roots Counseling, LLC, makes no claims that clients
*A note to our clients:
Our therapists do not bill insurance for couples/relationship therapy. Insurance does not cover the diagnostic codes that pertain to relationships, known as "Z codes."
While we are aware there are therapists in the community who bill insurance for this service, nearly all include naming what's known as an "identified patient." In this practice, one member in the relationship is given a mental health diagnosis, the treatment of which is covered by insurance because it has been deemed medically necessary.
Any therapist who does elect to bill insurance using this practice is obligated to explain the risks of doing so, which may include, but are not limited to:
difficulty obtaining life insurance
inability to secure a security clearance
disqualification from joining the military
challenges securing a job in law enforcement, or
denial in obtaining some healthcare licenses.
It is the policy of this office not to participate in such billing practices; therefore, our office does not bill insurance for couples/relationship counseling, nor provide superbills for reimbursement. We can, however, bill select Employee Assistance Programs (EAPs) and/or accept payment for services using FSA/HSA benefit cards, which are subject to more liberal criteria.
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