Fees

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If you have PPO as health insurance, check for the following:

• Do they reimburse for out of network, outpatient, mental health services 
• If yes, check what your deductible is and how much of each session your insurance will reimburse after you meet the deductible
• Check what other requirements or documentation is needed to qualify for reimbursement. Do they need a pre-authorization?

If you decide to use this benefit, I will provide you with a superbill (i.e. invoice) that you can submit to your insurance company for reimbursement. Note that I don't guarantee reimbursement and that you are still responsible for your full fee at the time of service. 

Some employers offer FSA (Flexible Spending Account) or HSA (Health Savings Account). These accounts are pre-tax dollars that you can set aside to pay for medical expenses such as mental health services. Check with your employer if mental health services such as therapy and counseling are included. If so, I can accept your FSA or HSA debit cards. Paying for therapy in this fashion allows you to reduce the effective cost of sessions since you are paying via pre-tax dollars.

Most cities have training clinics that offer low fee and sliding scale services. These clinics are a great alternative. They are staffed with trainees and interns who work under the supervision of an experienced clinician. To help you find the right trainee and intern, the same process of choosing the right therapist is still valid. 

Clinics in Portland:

• Lewis & Clark Community Counseling Center
• Portland State University Community Counseling Clinic
• Pacific University Psychology & Comprehensive Health Clinic

Clinics in San Francisco:

• California Institute of Integral Studies Counseling Clinics
• Access Institute
• Richmond Area Multi-services (RAMS)
• Liberation Institute