INSURANCE, FEES, AND POLICIES

Cohesive Counseling is not currently contracted with any health insurance companies. Superbills can be provided to you, upon request, for potential reimbursement if you have a PPO plan and out-of-network benefits. We can help support you in navigating this process with additional information and can file these claims to your insurance PPO plan on your behalf through our partnership with Thrizer. Just ask us and we will work with you to ensure a smooth and easy process. Learn more about Thrizer through their helpful website.

We also very much value our community and reserve a select and limited number of spots that offer a discounted rate through our partnership with Open Path Collective. They have been filling up fast, so please be sure to ask about availability. If you have questions, many can be answered from their website about Open Path's process, membership benefits, and their platform.

Benefits of Working with an Out-Of-Network Provider

Privacy

Out-of-network providers prioritize privacy by implementing stringent confidentiality measures and adhering to professional ethical standards, ensuring that your personal information remains secure and confidential throughout your therapy journey. Their commitment to protecting your privacy fosters a safe and trusting therapeutic environment, allowing you to freely explore sensitive topics without concerns about unauthorized disclosure.

Broader Options

Choosing to use out-of-network providers significantly broadens your options for healthcare, allowing you to select the provider who best meets your specific needs and preferences. This flexibility ensures that you're not limited by your insurance network, allowing you to focus on finding someone you connect with and trust.

Care First

Utilizing out-of-network providers for therapy sessions offers you the freedom to engage in care without the constraints often imposed by insurance networks, ensuring that the duration and frequency of your sessions are tailored to your unique therapeutic needs and goals. This approach allows for a more customized and flexible therapy experience, prioritizing your well-being over insurance limitations.

FEES

Initial Intake Appointment (60 minutes): 175.00

Individual Therapy Session (53 minutes): 140.00

Reduced fee appointments are available on a limited basis in partnership with Open Path Collective. We also work alongside you to submit for out-of-network reimbursement through our partnership with Thrizer.

POLICIES

Appointments & Cancellations

In order to provide the highest standard of care and be accessible to clients, there is a limit to the number of clients I work with at a time and operate through routinely scheduled appointment slots. These slot frequencies are typically scheduled weekly and, very occasionally, bi-weekly.

All clients are required to give 48 hours' notice for canceling appointments regardless of reason for needing to cancel. For late cancellations, clients are responsible for payment of session fee. Should frequency of cancellations become common, a stricter cancellation policy will be discussed.

This policy promotes effectiveness in your therapy, ensures I am accessible, and is fair to those on my wait list.

Confidentiality

All information shared will be kept confidential unless you authorize, in writing, the release of your information to specified parties for specified reasons. The exceptions to this, where I have duty to report as specified by Virginia law are:

Cases of imminent threat to self or other
Cases of suspected neglect and/or abuse of minor by a parent, guardian, custodian, or caretaker
Cases of suspected neglect and/or abuse of elder by their caretaker.

You can read the full Privacy Policy here.

Crisis

This practice is not able to provide crisis services at this time. If you are faced with an emergency, please call 911, 988, or go to your nearest emergency room.

You may also use one of the following contact numbers to obtain emergency mental health services in the greater Richmond area.

Richmond Behavioral Health Authority - 804-819-4100

Henrico County Mental Health - 804-727-8484

Hanover County Community Services Board - 804-365-4200

Chesterfield County Emergency Services - 804-748-6356

Suicide & Crisis Lifeline - 988

National Suicide Prevention LGBTQIA+ Lifeline - 800-273-8255

Trans Lifeline - 877-565-8860

Good Faith Estimate

Effective January 1, 2022, a ruling went into effect called the "No Surprises Act" which requires practitioners to provider a "Good Faith Estimate" to individuals who are uninsured, underinsured, or utilize self-pay only. This only applies if you choose to not utilize any out-of-network benefits. Please click here to learn more.