fees & faqs

Fees & Insurance

How do i pay for sessions?

Payment is due at time of service. We require a card on file for all clients. You may pay with credit / debit, HSA, or FSA card. Our biller will run your card on file for copays and session fees daily. We do not offer payment plans.

What insurances do you take?

The table below should help you determine if your insurance plan is accepted by your desired clinician. It is your responsibility to know what your insurance benefits may be- regardless if you are in-network or out-of-network. You will be liable for payment on any claims that are rejected by your insurance or for any balances that may be applied towards your deductible.

For clients with Oregon Health Plan: our practice accepts clients with Open Card, CareOregon/HealthShare, Jackson Care Connect, Columbia Pacific CCO, and Trillium Community Health Plan. We are not able to bill other OHP plans. We are unable to accept cash pay from OHP members.

For clients with PacificSource: we are only in network with PacificSource commercial plans, not Pacific Source Community Solutions, Medicare, or OHP. Please ensure you are a commercial member.

For clients covered by Medicare: we are not currently in network with any Medicare plans. We are unable to accept cash pay from Medicare members.

Don’t see your insurance listed? Your Client Portal automatically provides you with an out-of-network superbill at the end of each month.

What THE HECK is an out-of-network Superbill?

For clients with insurance plans that we are not in-network with, your Client Portal will generate a detailed invoice or “superbill” for you to send to your insurance provider to receive reimbursement.

We recommend asking these questions to your insurance provider prior to your first session to help determine your benefits:

• Does my health insurance plan include mental health benefits?

  • Does my plan cover telehealth sessions?

  • Does my plan limit how many sessions per calendar year I can have? If so, what is the limit?

• What are my out-of-network mental health benefits?

  • Do I have a deductible that applies to out-of-network mental health services? If so, what is it and have I met it yet?

  • Do I need written approval from my primary care physician in order for out-of-network mental health services to be covered?

  • Would my plan reimburse for out-of-network sessions performed by an associate?

do you accept secondary insurance?

In some situations, you may be covered under multiple insurance plans. This is referred to as having “secondary insurance”.

• Secondary insurance only pays for sessions if the clinician providing services is in network with both insurance plans you are covered by.

• If you have secondary coverage, you must let us know ahead of time, so we can assign you a clinician who is in network with both plans you are covered by, otherwise we will not receive any payment for sessions and will need to refer you to a different provider. If you do not let us know about a second (or third) insurance policy in advance, you may be responsible for covering your session costs in full.

i have More Questions about insurance.

Check out our Insurance Basics page for more detailed information around copays, deductibles, coinsurance, and more!

If that doesn’t answer your questions or if you have specific questions around your coverage and responsibility for payment, contact our insurance and billing expert, Val.

what Will i be charged for missed sessions?

We ask that you cancel sessions at least 24 hours in advance. See our no show/late cancellation policy for those paying cash or using private insurance below.

Clients using OHP will not be charged for missed sessions - but after 3 unexcused missed sessions, you will be removed from your clinician’s ongoing schedule.

what are your cash PAY RATES?

See the chart below for our clinician’s cash pay rates.

Other FAQs

how do i get started as a client at sprout?

See the flowchart below for our screening process:

To initiate services, you must first book an initial screening phone call with our Intake Coordinator here. All new clients need to complete this step - even referrals from other organizations! You will not be charged for this screening.

when will i be seen? will i be added to a long waitlist?

We pride ourselves on a quick turnaround from screening call to your initial session. Most clients seeking general mental health services can be placed on a clinician’s schedule within a week or two of your screening appointment. If you are seeking a specific clinician, type of services, treatment modality, or area of expertise - there may be a wait.

If we expect a 6-12 month wait or longer for a specific service type or insurance plan, our waitlist will be closed temporarily. This information is updated regularly on our Screening page.

when is the office open?

Hours of Operation. Our office is open by appointment only from 9am-5pm, Monday - Friday.
Clinicians may offer after-hours appointments between 8-9am and 5-8pm, dependent on their schedule and availability.

Inclement Weather. Our physical offices follow the Portland Public Schools inclement weather closures, but telehealth sessions remain available on these days. In-person sessions on days with inclement weather conditions will be rescheduled to telehealth.

Federal Holidays. Our physical offices are closed to in-person sessions on all federal holidays, but telehealth sessions remain available on some holidays. See the calendar to the right for our 2024 Holiday Schedule.