fees & faqs

Fees & Insurance

How do i pay for sessions?

Payment is due at the time of service. We require all clients to keep a card on file, which may be a credit, debit, HSA, or FSA card. Our billing team runs cards daily for copays and session fees. We do not offer payment plans.

What insurance plans do you accept?

Use the table below or our Provider Search tool to confirm if your preferred clinician is in-network. It is your responsibility to know your insurance benefits—whether in-network or out-of-network. You will be responsible for any claims denied by your insurance or any balances applied toward your deductible.

Oregon Health Plan (OHP)
We accept AllCare Health, CareOregon, Columbia Pacific CCO, EOCCO, GOHBI, HealthShare, Intercommunity Health Network (IHN), Jackson Care Connect, Open Card, PacificSource Community Solutions, Trillium Community Health Plan, Umpqua Health Network CCO, and Yamhill CCO. We cannot accept cash pay from OHP members.

Medicare
We are not currently in-network with any Medicare plans and cannot 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?

If we are not in-network with your plan, your Client Portal automatically generates a monthly “superbill”—a detailed invoice you can submit to your insurance for possible 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?

Does insurance cover couples or family therapy?

Possibly. Insurance will only cover sessions when they are medically necessary to assess and treat the diagnosis of one identified family member. The goal cannot be solely relationship growth or communication skills. Oregon law defines “family” broadly—this can include parents, siblings, spouses/partners, caregivers, and other primary relationships by blood, adoption, legal, or social connection. Read more about using insurance for relationship-based family therapy for couples here.

Can I be in both individual and family therapy?

Yes - just not on the same day. Insurance will not cover individual and family sessions on the same date of service.

do you accept secondary insurance?

Yes, in limited cases. Secondary insurance only pays if your clinician is in-network with both plans.

If you have multiple plans, let us know before starting services so we can match you with a clinician who is in-network with all your coverage. If we are not aware, you may be responsible for the full session cost.

i have More Questions about insurance.

See our Insurance Basics page for an overview of copays, deductibles, and coinsurance.

what Will i be charged for missed sessions?

We require 24+ hours’ notice to cancel or reschedule.

• Private pay or private insurance: Late cancels/no-shows are charged at the full session rate.

• OHP clients: No fees, but after 3 unexcused missed sessions, you will be removed from your clinician’s ongoing schedule.

what are your cash PAY RATES?

See our rate chart below for discounted cash pay rates.

Other FAQs

How do I start services?

See the flowchart below for our screening process:

Book a free initial screening call with our Intake Coordinator. This step is required for all new clients, including referrals from other organizations. You will not be charged for this screening.

How long will I wait for an appointment?

Most clients seeking general mental health services are scheduled within 1–2 weeks of their screening call. Wait times may be longer for specific clinicians, modalities, or insurance types.

If a service or plan has a 6–12+ month wait, the waitlist will be temporarily closed (see our Screening page for updates).

What are your office hours?

By appointment: Monday–Friday, 9 AM–5 PM. Some clinicians offer 8–9 AM or 5–8 PM sessions, based on availability.

Inclement weather: We follow Portland Public Schools closures for in-person sessions, but telehealth remains available.
Federal holidays: Physical offices are closed; some telehealth sessions may still be available.