How much does therapy cost?

No. However, we are an insurance-friendly practice. While we do not directly accept insurance, you may have out-of-network benefits.  This means that, although you would pay for sessions upfront, you may be eligible for reimbursement from your insurance provider according to their out-of-network policies.

1. Check Insurance Coverage: Before starting therapy with an out-of-network provider, it's crucial to contact your insurance provider to understand your out-of-network benefits. Here are some questions to ask:

• Do I have out-of-network mental health coverage?
• What is the coverage percentage for out-of-network therapy sessions?
• Is there a deductible I need to meet before coverage kicks in?
• Is there a maximum limit to the number of sessions covered per year?
• Are pre-authorizations or referrals required?
• Are the following services covered:

                  Intake Appointment: CPT code 90791

                  Individual Therapy Sessions (16-53 minutes): CPT codes 90832, 90834, and 90837

                  Couples Therapy Sessions: CPT code 90847

2. Understand Costs: While you may receive reimbursement for out-of-network therapy sessions, it's important to be aware that you may still be responsible for any difference between the therapist's fee and the amount reimbursed by your insurance company. This is known as the "out-of-pocket cost."

3. Obtain a Superbill: At the end of each month, your therapist will provide you with a Superbill. This is a detailed invoice that includes the date(s) of service, the CPT (Current Procedural Terminology) code for the therapy session, the diagnosis code, the therapist's information, and the total fee charged.

4. Submit the Superbill: Once you've received your Superbill, you will need to submit it to your insurance company for reimbursement. Typically, this involves filling out a claim form provided by your insurance company and attaching the Superbill.

Yes! We've partnered with Mentaya, a service that streamlines getting reimbursed for your therapy sessions through out-of-network benefits. They leverage out-of-network benefits to get eligible clients up to 80% back on therapy. 

See if you qualify: https://mentaya.co/checkbenefits/provenpathwayscounseling

Mentaya is perfect if you:

    • Have out-of-network benefits

    • Feel overwhelmed by superbills and insurance

    • Have submitted superbills but failed to get any reimbursement

    • Simply want to skip the hassle of paperwork!

Here's how it works:

    1. Sign up for Mentaya: https://mentaya.co/inviteclient/provenpathwayscounseling

    2. You will enter your sessions into the platform.

    3. Mentaya submits the claim and handles any insurance follow-up.

    4. If eligible, you get reimbursed by insurance!