Payment Options & Policies
We understand the benefit of having your insurance pay for services, especially when a client meets medical necessity with a qualifying mental health diagnosis impacting everyday functioning. We would like to give our clients the option of paying with their insurance. You must meet medical necessity for mental health services to be covered by your insurance. Mental health services consist of primarily individual therapy and, secondarily, family therapy or group therapy. Moreover, not all mental health concerns or diagnosis are covered. We will conduct an initial assessment session (60 minutes per individual), and we will inform you if you meet medical necessity to receive individual therapy, family therapy, or group therapy through your insurance. The initial assessment is usually covered by most insurance minus any copay, deductible, or co-insurance. If you do not meet medical necessity, you must pay out of pocket for continued services.
If seeking couples’ counseling, if you meet medical necessity and your insurance plan includes marital/family counseling, then services will be covered under family therapy. If you are receiving family therapy using your insurance addressing mental health and relationship dynamics issues, and also have an individual therapist, we must coordinate care with your individual therapist to prevent duplication of services, ensure insurance reimbursement. You will be required to complete a Release of Information, and your individual therapist will need to provide us with a copy of their assessment and treatment plan. Coordination of care is an insurance requirement. You must pay out of pocket if you only want to focus on your relationship and not your mental health and/or if you do not want us to coordinate care with your individual therapist.
Please note that insurance companies do not pay for couples counseling where the focus is primarily improving the relationship, where no individual or family dysfunctions are present, or where you do not want to address your mental health. If you only want to focus on your relationship and not your mental health and the relationship, you must pay out of pocket for standard couples counseling. If you are generally doing well and do not meet medical necessity requirements, be it for individuals, couples, or group counseling, then you must pay out of pocket under our self-improvement plan.
Only Nahomie Guillaume can see PacificSource Health Plans clients.
If you have Kaiser, we may be able to take Kaiser out of the network. You need to contact Kaiser and request a referral be sent to our office.
We are out of network for all other Blue Cross Blue Shield commercial insurances. We currently accept Anthem Blue Cross PPO. Do note that under a PPO plan, your out of network share cost is likely higher than in-network. You are responsible for out of network share of cost. You must pay for out-of-network share of cost at the time of your appointment and adjustments will be made once we receive reimbursement from your insurance.
We are in-network with Anthem Blue Cross -Medi-Cal Program.
We are out of network for all other Blue Cross Blue Shield commercial insurances.
We currently accept Anthem Blue Cross PPO. Do note that under a PPO plan, your out of network share cost is likely higher than in-network. You are responsible for out of network share of cost. You must pay for out-of-network share of cost at the time of your appointment and adjustments will be made once we receive reimbursement from your insurance.
We accept all major credit cards and HSA card payments.
Benefit of self-pay: There is no requirement to meet medical necessity (having an insurance covered mental health diagnosis). Service is driven by the client and not by an insurance company, and can cover a wide range of personal growth and life issues. Clients can receive couples therapy, which is often not covered by insurance companies without needing to meet medical necessity.
Pre-marital counseling and couples counseling where the focus is just the relationship addressing issues such as communication and intimacy is not covered by insurance.
Individual, Couples, and Family Therapy, telehealth and in-person. We also provide consultation support for those who are stable and not experiencing a mental health crisis or are chronically ill. Our consultation service is designed to solve a specific life problem, helping you brainstorm potential solutions. This can be either a brief session via phone or video or a full session. We will answer your questions to the best of our abilities, advise you, or link you to the right resource.
Associate Discounted Rate:
Our post-master’s degree board registered Associates offer private pay services at a discounted rate of $125.
Sliding Scale Rate:
Affordable services for individuals, couples, and families below the poverty line who are uninsured. Subject to income verification and with limited availability spots. Sliding scale rate is $10-20 for groups or workshops, and $50-110 for individuals, couples, and family counseling, financial coaching or consultation services.
Please contact our office to find out which Clinicians offer services at a discounted rate.
Go to our Types of Helping Service Page to learn more about the difference between counseling/psychotherapy and consulting.
Currently, we accept Aetna, Moda Health, Optum/United Healthcare, Oregon Health Plan (OHP) Open Card or CareORegon/Health Share/Trillium, Pacific Source Commercial, Regence Blue Shield Blue Cross.
We are in the process of applying with multiple insurance carriers. Contact us for updates. .
We understand the benefit of having a third-party pay for services, especially when a client meets medical necessity with a qualifying mental health diagnosis impacting every day functioning. We would like to give our clients the option of paying with their insurance.
Please note that most insurance companies do not cover marriage counseling (couples therapy) and some cover family therapy under strict guideline. Premarital counseling or couples counseling were the primary focus is the relationship is an out of pocket cost. Moreover, not all mental health concerns or diagnosis are covered. Treatment is driven by the insurance company and not by the client.
