Fees & Equity

Because care should be accessible and not conditional

Why I Use a Sliding Scale

Let’s be honest, therapy is an investment. But that investment shouldn’t be out of reach just because traditional systems weren’t built with equity in mind.

That’s why I use a sliding scale based on the Green Bottle Method, a community-centered model that invites you to consider not just your income, but your access to resources, support, and systemic privilege.

Instead of asking for proof or making you jump through hoops, I trust you to choose the rate that fits your life. No judgment. No gatekeeping. Just care.

This approach allows me to:

  • Offer consistent, sustainable care

  • Make therapy more accessible across financial realities

  • Prioritize relationships and healing over red tape

Whether you pay the full rate or a reduced fee, you receive the same level of care, presence, and intention.

You are not a burden.

You don’t need to explain why you’re choosing the rate you are. This model is here to support both you and the wider community because healing shouldn’t be a privilege reserved for the few.

My goal is to offer care that honors both accessibility and the longevity of my work, so that I can keep showing up fully for every client I serve.

Equity-Based Private Pay/Out of Network Session Rates

Choose the rate that best reflects your current circumstances. No proof required.

This scale is grounded in trust, sustainability, and the belief that mental health care should be more accessible.

Your selected rate helps support both your care and the care of others in the community.

You don’t have to justify your needs or prove your worth here.

Whatever rate you choose, you’ll receive the same care, presence, and support.

  • This rate is for folks with stable income and access to savings, who can handle unexpected expenses without financial stress, have employer-sponsored benefits or retirement matching, and have discretionary income for non-essentials.

  • This rate is for folks with steady income but savings are limited or building slowly, who are managing student loans, medical costs, or supporting dependents, have insurance but high deductibles add up, have family support that's limited or complicated, and are meeting needs but budgeting carefully.

  • This rate is for folks who are working but income doesn't cover basic needs, on a fixed income, or living paycheck to paycheck, facing systemic barriers like racism, ableism, fatphobia, disability, queerness, or immigration status, are a full-time caregiver, student, early-career, or in a single-income household, or are dealing with housing instability, food insecurity, high medical or accessibility costs, or crisis expenses.

  • This rate is for folks experiencing significant financial hardship or crisis, who may be unemployed or unable to work due to disability or chronic illness, are navigating homelessness or housing crisis, are fleeing domestic violence or other dangerous situations, have no access to family or community financial support, are managing compounding marginalization and survival needs, or for whom even the reduced rate creates genuine barrier to accessing care.

    Please note: I hold a limited number of spots at this rate based on current practice capacity. If this rate isn't available when you reach out, I'm happy to provide referrals to other sliding scale providers or community resources.

Insurance & Superbills

Insurance

I am in-network with the following insurance companies:

  • Premera

  • Lifewise

  • Regence

  • Aetna

  • Moda

  • United Healthcare

  • HMA (Health Management Associates)

  • Anthem

If you have insurance with one of these companies:

My billing team will submit claims to your insurance on your behalf. You'll pay your copay, coinsurance, or deductible directly to me at the time of service, and insurance covers the rest according to your plan benefits.

What you'll want to know about your coverage:

  • What is my copay or coinsurance for outpatient mental health services?

  • Have I met my deductible for this year? If not, how much is left?

  • How many therapy sessions does my plan cover per year?

  • Do I need a referral or pre-authorization for therapy?

You can find this information by calling the number on the back of your insurance card or checking your insurance company's online portal.

Important note: If you have insurance with one of my in-network providers, you cannot use my sliding scale rates. Your cost is determined by your insurance plan's copay, coinsurance, and deductible structure.

Out-of-Network Insurance & Superbills

If your insurance is not on my in-network list, I am an out-of-network provider. This means you pay me directly at the time of service using my sliding scale rates, and then you may be able to seek reimbursement from your insurance company if you have out-of-network mental health benefits.

How Out-of-Network Reimbursement Works:

If your insurance plan includes out-of-network benefits for mental health, you can submit a superbill (a detailed receipt) to your insurance company for potential reimbursement. The insurance company will review your claim and may reimburse you for a portion of the session cost, typically after you've met your out-of-network deductible.

Important things to know:

  • Reimbursement is between you and your insurance company. I can't guarantee what they'll cover or how much you'll receive back.

  • Reimbursement rates vary widely (some plans cover 50-80% after deductible, others cover very little or nothing).

  • You'll need to meet your out-of-network deductible first, which can range from hundreds to several thousand dollars.

  • Processing times vary, but reimbursement can take weeks to months.

  • Some plans have session limits or require pre-authorization for out-of-network providers.

What I Provide:

I generate monthly superbills that include all the information your insurance company needs: dates of service, diagnosis codes, session costs, my NPI and credentials, and procedure codes. I'll send these to you through the secure client portal, and you submit them to your insurance company for reimbursement.

Questions to Ask Your Insurance Company:

Not sure if you have out-of-network benefits? Call the number on the back of your insurance card and ask these questions:

  • Do I have out-of-network benefits for mental health or behavioral health services?

  • What is my out-of-network deductible, and how much have I met so far this year?

  • After I meet my deductible, what percentage of out-of-network therapy sessions will be reimbursed?

  • Is there a session limit for out-of-network mental health services?

  • Do I need pre-authorization or a referral for out-of-network therapy?

  • What CPT code should I look for on the superbill? (Most outpatient therapy is 90834 for 45-minute sessions or 90837 for 60-minute sessions)

  • How do I submit superbills for reimbursement? (Online portal, mail, fax?)

  • How long does reimbursement typically take?

A Realistic Perspective:

Out-of-network therapy means you're investing in your care upfront using my sliding scale rates. Some people receive substantial reimbursement and find it worth the effort. Others receive little to nothing back, or find the administrative burden frustrating. I encourage you to get clear answers from your insurance company before committing, so you can make an informed decision about whether out-of-network therapy is financially sustainable for you.

If out-of-network costs feel unworkable even with potential reimbursement, my sliding scale rates are designed to make care more accessible. We can also explore adjusting session frequency to fit your budget.

Private Pay (No Insurance)

If you don't have insurance or prefer not to use it, you can access therapy through my sliding scale rates. This option gives you full privacy (no diagnosis required to be submitted to insurance), eliminates insurance-related paperwork, and allows us to work together without session limits or pre-authorization requirements.

A gentle note:

I do not accept Medicaid or Medicare at this time.

If those are your forms of coverage, I’d be happy to help you find a provider who does.

Let’s find a rate that honors your reality.

You deserve support that’s both meaningful and sustainable.
Whether you're paying privately, using insurance, or exploring sliding scale options, I'm here to make it as easeful and transparent as possible.

Let’s talk about what fits for you.

Good Faith Estimate Notice

Under the law, health care providers must give clients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services.

You can request a Good Faith Estimate before you schedule a service, and you’ll receive one in writing as part of my intake process for private pay clients.

For more information or to request an estimate, feel free to email me.