Policies and Fees
Fees and Insurance
Payment is accepted via credit, debit or HSA cards online through the client portal. At this time Cascades Couple and Family Therapy does not accept insurance, however a “superbill” statement can be provided in order for clients to submit to their insurance for possible reimbursement. It is important to note that many insurance companies do not reimburse for treatment with associate level clinicians. It is the client’s responsibility to determine eligibility for reimbursement from their insurance company.
Fee for therapy: $175 per hour
(Couples frequently benefit from longer sessions and fees are pro-rated accordingly)
Good Faith Estimate
As of January 1, 2022 all healthcare providers are required by federal law to provide Good Faith Estimates in compliance with the No Surprises Act. This legislation is intended to inform clients of their rights and protections against “surprise billing.” The act protects people covered under group and individual health plans from receiving surprise medical bills when they receive healthcare services from out of-network providers. You have a right to receive aa “Good Faith Estimate” explaining how much your therapy or counseling will cost. To learn more about the No Surprises Act please click here.
Cancellation Policy
Clients will receive an email or text appointment reminder the day before a scheduled session. Should a conflict arise, please notify your clinician as soon as possible to cancel or reschedule your appointment. You can call, email or text in order to reschedule, or you can manage your appointments directly using the client portal which can be accessed here: https://cascades.clientsecure.me/sign-in. Cascades Couple and Family Therapy has a 48-hour cancellation policy. In the event that a client fails to cancel 48 hours in advance or is a no-show to a scheduled appointment, clients will be charged for the appointment. Sessions that can be rescheduled within the week will not incur a cancellation fee. In the case of chronic issues with attendance (three or more missed sessions, or failures to cancel), Cascades Couple and Family Therapy reserves the right to terminate treatment.
Client Portal
The client portal is an excellent way to book, cancel or reschedule appointments, as well as access statements and superbills. It can be accessed here: https://cascades.clientsecure.me/sign-in . In order to log in simply enter your email address, and a unique link will be emailed to you to allow you to access your account. Superbills can be found within the Billing Documents section, under the heading “Statements for Insurance Reimbursement”.
Confidentiality
HIPAA (Health Insurance Portability and Accountability Act of 1996) protects the relationship between a client and therapist. Your personal health information (PHI) cannot be disclosed without your written permission. This includes diagnosis, notes, treatment plans and bills. Cascades Couple and Family Therapy is required to maintain the privacy of your PHI per HIPAA regulations. Exceptions to this include:
suspected abuse of child, individual or elder
threats of serious bodily harm or property damage to another
intent to harm him/herself
Therapists are mandated reporters and should these situations arise, we are required by the State of Washington to notify child protective services, the police or other appropriate authorities to ensure client and other's safety. For information on your rights under HIPAA, go to:
https://www.hhs.gov/hipaa/for-individuals/guidance-materials-for-consumers/index.html
Payments and Reduced Rate Fees
Clients are expected to pay treatment fees at the time of service, unless alternative arrangements have been made. Fees are based on services requested. Should a financial concern arise before or during treatment, please discuss it with us and we can work on a solution. Reduced rate fee appointments are available on a limited basis.
Referrals
As a small private practice, situations arise wherein treatment with me does not offer the appropriate level of necessary care, for example wrap-around intensive services, or 24 hour crisis help, which may be offered in larger group private practices or clinics. Therefore, there are some limits to clients that Cascades Couple and Family Therapy can work with, including:
Suicidal thoughts and/or recent suicide attempts
Issues related to substance use/abuse that inhibit daily functioning
Untreated and/or severe psychological diagnoses (i.e. mood disorders, schizophrenia, etc.)
Active engagement in non-consensual behavior
Should medication, substance abuse treatment or hospitalization be required, Cascades Couple and Family Therapy will refer you to the appropriate facility and or physician.