Below is the fee schedule for counseling sessions with Imei, which was amended on May 30, 2022 for the remaining 2022 calendar year. I do not anticipate changing my fees until Dec 2022 for the 2023 calendar year.
By January 1, 2023, I plan to terminate my contracts with both remaining insurance companies I have worked with over the past 20 years. For an explanation of why many doctors (with similar application to therapists) outside of hospitals choose to sever their ties with health insurance companies, take a look at this: https://www.insurance.com/health-insurance/coverage/when-doctors-go-cash-only.html
As you have likely experienced, the 2020-2021 tax changes have a profound on small business owners. While I was hoping to decrease fees for 2022, health insurance valuations for the various timed codes (30min, 45min, up to 60min) have remained on the lower end. Without a raise in reimbursement value, and a limit on the number of hours I can practice per week, coupled with the removal of key features of telehealth coverage by insurance companies that will end on Dec. 31 2022, I have come to a decision that we can forge a better solution with private pay and out-of-network reimbursement, one that does not leave the provider working harder and longer for the low contracted rate.
Current for individual therapy:
This fee schedule is good until Dec. 31, 2022, when the new fee schedule will be evaluated and implemented.
The cost of a 45 minute session is $135.00
The cost of a 52-60 minute session is $150.00
The cost of a 80-85 minute session is $175.00
The fee schedule for Jan. 2023 until Dec. 31 2023 is anticipated to update to the following:
The cost of a 45 minute session is $145.00
The cost of a 50 minute session is $160.00 (this is the most frequently requested service at this time)
The cost of an 80-85 minute session is $185.00
If you received a complimentary consultation of 20-30 minutes, your first session is for the cost of the session according to the fee schedule above; if you did not, you are billed for the 80-85 minute initial visit.
For couples: The cost of a 50+ minute couples therapy session is $165. For insurance to reimburse under a conjoint session visit, couples are defined as married unless your insurance plan states otherwise, and there must be one person of the couple who is the identified client of the session with a medical diagnosis. The cost of a couples therapy session for 90 minutes is $185.00. In 2023, the cost of a 50+ minute couples therapy session will be $175; for 90 minutes, the cost will be $200 because of in-session work that happens in a longer session versus assigned CBT homework outside of session.
For visitation: The same fee schedule applies, and a cash request for travel time is added (to be negotiated on a case by case demand). This may also include visitation to the hospital or long-term care facility.
Group Therapy sessions are $50-60* per session (we currently do not have a Group running at this time). You will receive a discount if you pay upfront for all sessions. Cash only, no insurance billed for group therapy (although we can give you an invoice to submit to your insurance for you to try to receive reimbursement).
Relationship Refresh : (please inquire) for new clients only, purchase and book three counseling appointments, with at least one session solely dedicated to improving your sex life (singles, couples, and people in non-traditional relationship configurations welcome!) for $325. See my article, The Key To Getting The Sex You Want, for the background on this exclusive offer.
Note: Because this offer does not follow health insurance standards for brief-oriented counseling, I cannot use your health insurance. This offer is good to all new clients.
Coaching: Select the package that meets that need.
For a package of 10 sessions (approximately 1 hr each session, but sometimes I give you more, depending on what you need), $1700 in a single payment due at the time of the first session. We will create a coaching agreement in writing. (This coaching package gives you six months to use 10 coaching sessions)
You may also purchase coaching sessions at an hourly rate of $175/hr, or prorated on the 15 minute increment.
Coaching packages for the corporate environment, educational institutions, and organizations are coming soon. Presentations, books for each participant, and a complimentary coaching call per audience member can be negotiated. Please contact me directly for more information.
I have added Precision Nutrition Level 1 (Pn1-NC) coaching in June 2022. Please inquire if you are interested in behavior-change and evidence-based nutrition coaching, with a free nutrition intake evaluation ($175 value) to get you started. This program is well-suited for “recovering dieters” and those who want to make small and sustainable changes that support long-term health goals. It can also be customized under a medical practitioner’s order for more aggressive changes in the face of a medical condition or concern.
Reports and Legal Documentation: should you need summary reports, evaluation reports, or other legal documentation, the fee for producing these documents for you are $75/hr (prorated on the half hour). After providing any release forms required, I will electronically send your documents. You may use electronic signatures for consent.
How Do I Pay?
Payment is preferred using the Cash app (mobile app).
I also accept payment through Square for credit card transactions (MC, Visa, Discover). If you are unable to afford payment on the counseling session cost, we can discuss a negotiated, time-limited reduction to $80 per session based on your situation. For more information on how to pay for your visits, please read this post.
At this time, Imei accepts a limited number of insurance companies: Premera, Regence, First Choice Health. Out of network (OON) plans may be billed by the client; the necessary paperwork can be provided to the client to pursue reimbursement, but your payment in full is due at the time of service. See our FAQs page for more information.