Financial Transparency and Your Rights

Federal Insurance:‍ Medicare and Medicaid plans are not accepted.

For those who do not have insurance or are not using it, I provide a Good Faith Estimate before our first session that outlines the expected costs for the year. Whether you pursue services reimbursed by commercial insurance, a specialized 90-minute EMDR protocol, or services using sliding scale rates, you'll have a clear financial roadmap from day one. 

Itemized estimates based on specialized treatment paths (e.g., standard psychotherapy vs. specialized EMDR protocols; services rendered under the Sliding Scale & Equitable Access program) will be provided upon scheduling or request.

Financial Equity & Accessibility

I believe that financial matters are an extension of the therapeutic relationship and should be addressed with honesty and care. My reduced-fee policy is designed to ensure that financial limitations do not become the sole barrier to receiving quality, trauma-informed care.

Your Right to a Good Faith Estimate

Under the law, healthcare providers must give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.

This Good Faith Estimate is provided in writing at least 1 business day before your medical service or item.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.

Per-session Rates:

Service

Duration

Rate

Diagnostic Evaluation

60 min

$175.00

Individual Therapy

53 min

$150.00

EMDR Therapy

90 min

$255.00

Group Counseling

45–80 min

$60.00

A Note on EMDR Pricing:

EMDR therapy is available in 53-minute sessions to align with standard insurance reimbursement, offering a clinically proven and effective pace for lasting change. For those who prefer a longer reprocessing window, 90-minute sessions are also available to support your specific goals.

Timing of Your Estimate:

  • Estimate provided within 1 business day of scheduling.

  • Estimate provided within 3 business days of scheduling.

  • You may request an estimate at any time; it will be provided within 3 business days.

  • For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.

How the Sliding Scale Works

I reserve a specific percentage of my caseload for reduced-fee clients. These rates are offered on an "Honor System" basis. While I do not require invasive financial documentation, we will discuss your household income, dependents, and overall financial experience to find a sustainable rate.

  • Intake Assessment:

    • Open Path Collective Clients: $70

    • All Other Clients Using Sliding Scale Rates: $75

  • Ongoing Sessions: Your specific rate is determined using an equitable guide, such as The Green Bottle scale, to help us navigate your financial privilege and needs together.

  • Waitlist: If all reduced-fee positions are currently filled, you may elect to be placed on a first-come, first-served waitlist that receives monthly updates on availability.

Guidelines for Equitable Access

To maintain the integrity of this program and ensure these appointments remain available for those in need, the following community agreements apply:

  • Frequency: To qualify for a reduced rate, we meet weekly or bi-weekly. This ensures consistent progress and clinical momentum.

  • Temporary Support: These rates are reviewed every 3 months. As your financial circumstances improve, I ask that you notify me so that your reduced-fee spot can be transitioned to another community member in need.

  • Attendance: My standard 24-hour cancellation policy applies. To protect my ability to offer these positions, consecutive no-shows or late cancellations may result in a return to the standard session fee.

Important Legal & Operation Notes

  • Insurance: By law, reduced fees cannot be combined with insurance. If you choose to use the sliding scale, you are electing to waive your insurance benefits.

  • Time of Day: Reduced rates are available for individual appointments scheduled before 4:00 PM.

  • Equitableness: You are entitled to the full benefits of therapy regardless of the fee you pay. I am committed to protecting your equal status as a valued member of this practice.

[Download the Full Psychotherapy Reduced Fee Agreement (PDF)]‍ ‍For a complete look at the terms, collection policies, and financial responsibilities.

Important Information Regarding OON Insurance & Billing

  • Educational Use Only: This information is for general guidance. By utilizing these resources, you agree to assume all associated risks and hold Embodied Moments Counseling Services, PLLC harmless.

  • No Guarantee of Payment: Submitting a claim (superbill) does not guarantee reimbursement from your insurance provider.

If you have a PPO or a plan with out-of-network benefits,…

…you may be eligible to receive partial reimbursement for our sessions. I provide an itemized receipt (Superbill) that you can submit to your insurance provider for possible reimbursement. Learn more below.

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Navigating Out-of-Network Reimbursement

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    The Basics of Superbills

    What it is: A specialized invoice that includes necessary clinical data (Diagnosis and CPT codes) that insurance companies require to process a claim.

    Reimbursement: Most carriers cover 30–70% of the "allowed rate" once your out-of-network deductible is met.

    Privacy Note: Submitting a superbill requires sharing a clinical diagnosis (ICD-10 code) with your insurance company.

    90-Minute EMDR: Please note that most carriers only reimburse for a standard 53-minute session. Sessions that require additional time are typically the client's financial responsibility.

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    Your Reimbursement Checklist

    Call Your Provider: Use the member number on your card and ask to speak with the "Mental Health/Behavioral Health" department.

    Verify Your Benefits: Ask about out-of-network coverage for CPT codes 90791 (Initial Evaluation), 90837 (Individual Therapy), and 90853 (Group Counseling).

    Confirm Your Deductible: Ask if you have a separate out-of-network deductible that must be satisfied before they will send you a check.

    Find the Submission Method: Confirm if they prefer submission via their online portal, fax, or mail.

    Download Your Superbill: At the end of each month, your signed superbill will be available for download in your Client Portal.

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    Quick Links for Claim Submission

    Ready to file? Use the direct links below for major carriers or automated filing services:

    Aetna Member Portal | Blue Cross NC Claims | UnitedHealthcare Portal

    Automated Services: Mentaya or Reimbursify

    [Download the Full Superbill Policy & Guide (PDF)]‍ ‍For a complete list of my NPI numbers, billing details, and specific questions to ask your insurance representative.

    You may also look up information on the internet for submitting superbills to insurance for reimbursement for your specific provider.