Fee Schedule
Services may be covered in full or in part by your health insurance or employee benefit plan. Please check your coverage carefully with your insurance provider. As a courtesy, we will verify your coverage with your insurance company, but it is the responsibility of the client to be familiar with their coverage and fees. Please note: the estimated costs with your insurance company that we provide are not a guarantee. Individual Counselors can accept different insurance plans. If you are not covered under the insurance companies listed on the front page, then please contact us to discuss a reduced schedule.
Initial Assessment (90791): $150.00 50-60 Minute Sessions (90837): $125.00 45 Minute Sessions (90834):$100
FORMS
You are encouraged to print and fill out the attached forms and bring them with you to the initial session. If you are unable to do so, we will provide them to you during your first session. By signing these forms, you agree to the terms.
INSURANCE
The below list is a summary of the a portion of the insurance companies that we accept. Please contact our offices or your insurance company to verify if we are in network as there are more companies that are not listed here in network. Self-Pay clients and clients who wish to use their FSA and HSA accounts may also access our services.
If you are unable to afford services at this time or do not have insurance coverage, please contact our offices to see what arrangements can be made. We believe that all individuals deserve access to the best mental and emotional support offered.
Aetna Better Health of Ohio
Apex (Select Plans, please contact your insurance company for more information)
Beacon Health Networks
Blue Cross/ Blue Shield
Buckeye
Caresource
Cigna
Cleveland Health Network (Cleveland Clinic)
Emblem Health Non HMO
Medicaid
Medical Mutual
Molina
Health Smart
IMPACT EAP & Work/ Life Program Provider Network
MPV Commercial Non HMO Network- IPA
New York State Empire Plan
Optum
Paramount Advantage
Summacare
Tricare
United Healthcare
Value Options and Commercial Non HMO
Insurance Considerations
Therapists who are in-network with insurance providers are required to share certain confidential treatment information, including diagnoses, with the insurance company. Please be aware that this information becomes part of your permanent health record. At our practice, we deeply respect your privacy and are committed to protecting your Personal Health Information (PHI) in accordance with HIPAA guidelines. If you have concerns about using insurance and would prefer to explore self-pay or out-of-network options to maintain greater confidentiality, we are happy to discuss these alternatives with you.
Hardship Fund & Partnership with Peach of Mind for You
At Anchor, we believe that everyone deserves access to quality mental health support, regardless of financial circumstances. That’s why we’ve partnered with Peace of Mind for You, a local organization dedicated to bridging the financial gap between receiving therapy and overcoming financial challenges. If you need additional support to fund your therapy, please reach out to us—we’re here to help create a plan that works for you.
Good Faith Estimate
Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to submit a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.
The GFE explains your therapist’s rate for each service provided. Your therapist will collaborate with you throughout treatment to determine how many sessions and/or services you may need to receive the greater benefit based on your diagnosis)es)/presenting clinical concerns.
This Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill. If you are billed for more than this Good Faith Estimate, you have the right to dispute the bill. You may contact the health care provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available. You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill. There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount. To learn more and get a form to start the process, go to www.cms.gov/nosurprises or call 1-800-985-3059. For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call 1-800-985-3059. Keep a copy of this Good Faith Estimate in a safe place or take pictures of it. You may need it if you are billed a higher amount. 5
Note: The PHSA and the GFE does not apply currently to any clients who are using insurance benefits, including Out of Network Benefits (seeking reimbursement from your insurance companies).
Common Services at Anchor Counseling
Psychotherapy 90791: Initial therapy intake
90837: 50+ minute psychotherapy session
90847: Family/Couples psychotherapy session
Common Diagnosis Codes at Anchor Counseling Services
F32.9: Major Depressive Disorder, Unspecified
F41.1: Generalized Anxiety Disorder
F43.1: Post-Traumatic Stress Disorder (PTSD)
F43.10: PSTD, Unspecified
Z62.820: Parent/Child Relational Conflict
Z62.811: Personal history (past history) of psychological/emotional abuse/neglect in childhood
Where Services will be Received
Online, via telehealth
In Office
At Anchor Counseling, we recognize that every person's journey is unique. How long and how how often you need to engage in therapy can be influenced by many factors: Your schedule, therapist availability, ongoing life challenges, personal nuances etc.. While we work diligently as therapists and billing staff to determine the expected length of your treatment, there will be fluctuations to this, as noted due to vacations, sick-time, and cancellations. Treatment, healing and recovery are not a linear process and it is impossible to fully determine at the beginning of treatment how one will respond. However, at Anchor we never want finances to impact your ability to have access to therapy. Please contact our billing office, or your therapist if you believe that finances have become a barrier.
The information provided in GFE’s is only an estimate and that actual items, services, or charges may differ from the good faith estimate. You as a patient have the right to initiate a patient-provider dispute resolution process if the actual billed charges substantially exceed the expected charges included in the good faith estimate. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service. The good faith estimate is not a contract and does not require any individual to obtain the items or services from any of the providers or facilities identified in the good faith estimate.
CANCELLATIONS AND MISSED APPOINTMENTS
CANCELLATIONS AND MISSED APPOINTMENTS
The client is expected to attend each scheduled session on time. A canceled or delayed appointment disrupts our work and may negatively impact other clients. Out of respect for your therapist and our other clients, we require a minimum of 24 hours’ notice for rescheduling or canceling an appointment. We appreciate more than 24-hour notice if possible, as it allows us to offer that time slot to other clients who may need it. Therefore, if you know in advance of the required 24-hour notice that you will not be able to attend our session, please cancel or reschedule accordingly. You can do so by calling the office and leaving a voicemail on your provider’s line, sending a message through Simple Practice, or logging into your Simple Practice portal to cancel the scheduled appointment. When calling, a voicemail is sufficient as they are date and time-stamped. We utilize the reminders feature within the Simple Practice portal so that you receive reminders several days before, several hours before, and right before the session. These reminders are a courtesy and are only sent if you consent to receive such communications by providing us with your email address and cell number. It remains your sole responsibility to keep track of and timely attend all scheduled therapy appointments, whether or not you receive the text or email reminder. It is your responsibility to inform the office if your phone number or email address has changed.
A late cancellation or no-show appointment hurts at least three people: you, your therapist, and another client who could have potentially utilized your time slot. Therapy sessions are scheduled in advance and are a time reserved exclusively for our clients. When a session is canceled without adequate notice, we are unable to offer that time to another client who may be on a waitlist to get scheduled or a client with a clinical emergency. Additionally, please understand that therapy should be viewed as any other important medical appointment would be viewed. While it is a time commitment, this is for your personal betterment and consistency is key in order to achieve this.
FEES FOR NO-SHOWS & LATE CANCELLATIONS
Updated Policy: Effective 11/1/24
No-Show Fees: Anytime you fail to attend a scheduled appointment without giving appropriate prior notice, you will be charged $80 for the no-show. The credit card information or other payment information you provided will be used for this payment. By providing us your credit card information or booking an appointment, you consent to this policy. Multiple no-shows will result in termination of therapy.
Late Cancellation Fees: Anytime you fail to cancel a scheduled appointment more than 24 hours in advance, you will be charged $80 for the late cancellation. You will be charged even if the cancellation is work related and even if you rescheduled the appointment. The credit card information or other payment information you provided will be used for this payment. By providing us with your credit card information or booking an appointment, you consent to this policy. You should note that insurance companies generally do not reimburse for missed appointments.
HOW 24-HOUR NOTICE WORKS
A fee of $80 will be charged when you miss or cancel an appointment without giving 24-hour advanced notice. This means that if an appointment is scheduled for 3:00 pm on a Tuesday, notice must be given by 3:00 pm on Monday at the absolute latest. Note that if your appointment is on a Monday, the cancellation needs to be provided no later than the prior Friday, by your appointment time, to be considered proper 24-hour notice. You can cancel your appointment by calling the office and leaving a voicemail on your provider’s line, sending a Simple Practice message, or by logging into your Simple Practice portal to manually cancel the scheduled appointment. When calling, a voicemail is sufficient as they are date and time-stamped.