Fees & Insurance

At Couples Chat Therapy, we believe that therapy is a meaningful investment in your relationship.  We aim to be transparent about fees to help you make an informed choice about your care.

• Initial Consultation (15 minutes): Complimentary
• Individual therapy (50 minutes): $220 
• Relationship therapy (50 minutes): $300
• Extended Relationship Therapy (90 minutes): $450 
• Relationship Reset Intensive: $2,495

Most of my clients seek specialized relationship therapy for recurring conflict, trust repair, attachment injuries, blended-family dynamics, and consensual non-monogamy. They are often looking for more than short-term symptom relief. They want meaningful change in how they understand, respond to, and connect with the people who matter to them.

My practice is intentionally structured for clients who value specialized, relationship-focused care. As an out-of-network practice, treatment can remain focused on the needs, goals, relationship structure, and context of the people I work with.

Relationship therapy may involve concerns such as recurring patterns, emotional safety, trust, attachment, intimacy, relationship agreements, and relational growth. My work is focused on the goals that bring you to therapy and the changes you are working to create.

For clients with out-of-network benefits, I can provide a superbill for potential reimbursement. Reimbursement is determined by your insurance plan and is not guaranteed.

No. Couples Chat Therapy is an out-of-network practice intentionally structured to provide specialized, relationship-focused care.

Insurance reimbursement is generally tied to medical necessity and an individual mental health diagnosis. Many concerns that bring partners to therapy, including recurring conflict, trust concerns, emotional disconnection, blended-family stress, and relationship transitions, may not fit neatly within a diagnosis-centered model of care.

As an out-of-network practice, therapy can remain focused on your goals, relationship dynamics, and the changes you are working to create. This allows for greater flexibility and autonomy in determining the focus, frequency, and direction of treatment.

For clients with out-of-network benefits, I can provide a superbill for potential reimbursement. Reimbursement is determined by your insurance plan and is not guaranteed.

Many insurance plans offer out-of-network benefits that may reimburse a portion of therapy fees.

Because coverage varies by plan, I encourage clients to contact their insurance provider directly to verify their out-of-network benefits, reimbursement rates, and eligibility requirements. Upon request, I can provide a superbill that you may submit to your insurance company for potential reimbursement.

Please note that reimbursement is determined solely by your insurance provider, and I cannot guarantee coverage or payment.

Couples Chat Therapy accepts all major credit cards, HSA (Health Savings Account), and FSA (Flexible Spending Account) cards. A valid credit card is required to be securely maintained on file through the client portal, and payment is processed on the date services are rendered. 

A minimum of 24 hours' notice is required to cancel or reschedule an appointment. Appointments canceled with less than 24 hours' notice, as well as missed appointments, will be subject to the full session fee. Additional details are outlined in the informed consent documents. 

Under the No Surprises Act (H.R. 133 - which will go into effect on January 1, 2022), health care providers need to give clients or patients who do not have insurance or who are not using insurance or paying or of pocket have the right to receive a Good Faith Estimate (GFE), an estimate of the bill for medical items and services.

• This Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created. 
• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes (under the law/when applicable) related costs like medical tests, prescription drugs, equipment, and hospital fees.
• The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill. 
•  If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. 
  • You may contact the health care provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available. 
  • You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill. 
  • There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount. 
• Make sure your health care provider gives you a Good Faith Estimate within the following timeframes:
  • If the service is scheduled at least three business days before the appointment date, no later than one business day after the date of scheduling;
  • If the service is scheduled at least 10 business days before the appointment date, no later than three business days after the date of scheduling; or
  • If the uninsured or self-pay patient requests a good faith estimate (without scheduling the service), no later than three business days after the date of the request. A new good faith estimate must be provided, within the specified timeframes if the patient reschedules the requested item or service.
• The No Surprises Act has a universal waiver form required — which Spoken Balance has adapted into an identical online form. You may view the PDF of the waiver here. 
• This is the public disclosure of the “Good Faith Estimate” 

Note: A Good Faith Estimate is for your awareness only. It does NOT involve you needing to make any type of commitment.

To learn more and get a form to start the process, go to www.cms.gov/nosurprises or call 800-985-3059. For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call 800-985-3059.