https://www.sprucehealth.com/
 

Service

Cost

Initial Assessment/
Therapy Intake

$195

Therapy Session:
Individual/Couple

$160

Therapy Session:
Group *See GROUPS page

$$$

Therapy Session:
Couple without patient present

$160

Pre-Marital Counseling Session:
Initial/Questionnaire Review

$225

Pre-Marital Counseling Session

$200

Phone Consult: 30 minutes (with client or coordinating care with other provider)

$80

Accepted Insurances

  • Anthem BC/BS

  • Optima/Sentara

  • Optum/United Healthcare

  • Aetna

  • Medicare (supplements of above insurers only accepted)

  • Out-of-Network (will provide superbill)

  • Self-Pay

If you choose to use your insurance plan services may be covered in full or partially.  Please call your insurance company to verify we are in network.

We DO NOT offer sliding scale or reduced fees for services.

However, SOON, we will be offering monthly packages to include f/f sessions & phone/test/email sessions. Check back soon for details!

Co-Payments & Payment Methods

Cancellation & Missed Appointment Policy

Questions for Insurance Provider

Payment Methods:

Since TSC is primarily a telehealth practice, most major credit cards accepted for payment.  We do not carry a bank in practice.  We use automatic billing for your convenience. Cash or check can be used, if necessary. However, if using cash/check, client must agree to pre-pay at the local office on Wednesdays when clinician can be in office (this must be pre-arranged and approved by your clinician) for telehealth sessions. 

Co-Payments:

All applicable co-payments, deductibles, or any other out-of-pocket expenses are to be paid at the time of the appointment. It is the client's responsibility to determine co-pay, deductible, & co-insurance with their insurance provider PRIOR to their intake appointment.

Credit Card Policy:

TSC requires each client to maintain an active and valid credit card on file along with a signed authorization to bill this card for any balances due prior to scheduling appointments.  We have found that, especially with increased telehealth, this keeps things consistent and simple for both client and clinician.  We also believe keeping a card on file decreases the likelihood of large surprise bills.  

We request that all clients cancel or reschedule an appointment at least 48 business hours prior to their scheduled appointment to leave space for others to be scheduled and to honor the clinician's time.

If you choose to cancel or reschedule your appointment with less than 48 business hours of your scheduled appointment time you will incur our $135 late cancellation fee to be charged to the card on file automatically.  

If you fail to attend your scheduled appointment or fail to notify your clinician of tardiness, your appointment is considered a "no show" and our full session fee of $160 will be charged to the card on file. If you are more than 15 minutes late to your schedule appointment time, we will consider this a missed appointment and the "no show" fee of $160 will be charged automatically to the card on file. 

If you show up for your scheduled appointment visibly impaired due to alcohol or drug use, you will be asked to reschedule your appointment and the full session fee of $160 will apply and the card on file will be charged.

A note about late cancel/no show fees: Mental Health Providers are in high demand which means many are working A LOT to meet that demand (and we care about people!). Please be courteous to your clinician as a human and do not argue or try to negotiate a legitimate charge of any kind, and especially for a missed appointment. We all appreciate your consideration!

Please check your coverage carefully by asking the following questions:

  • Do I have mental health insurance benefits?

  • What is my deductible and has it been met?

  • Do I have telehealth benefits?

  • Is there separate coverage or deductible for telehealth sessions?

  • Is there a different copay amount for telehealth vs in-person visits?

  • What is my copay per session?

  • How many sessions per year does my health insurance cover?

  • Is pre-certification/pre-authorization required from my primary care physician?

  • Is pre-certification/pre-authorization required at all?

Reservation Rights:
Thrive & Shine Counseling reserves the right to increase rates/fees at any point in the future. Thrive & Shine Counseling agrees to provide at least 60 days notice of rate/fee increases.

 

Good Faith Estimate Info + Disclaimer

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. This estimate is not a contract and does not obligate you to obtain any services from the provider(s) listed, nor does it include any services rendered to you that are not identified here. The estimate is based on information known at the time the estimate was created. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. There may be additional items or services I may recommend as part of your care that must be scheduled or requested separately 2 and are not reflected in this Good Faith Estimate. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill. You have the right to initiate a dispute resolution process if the actual amount charged to you substantially exceeds the estimated charges stated in your Good Faith Estimate (which means $400 or more beyond the estimated charges). 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. For questions or more information about your right to a Good Faith Estimate or the dispute resolution process, visit https://www.cms.gov/nosurprises/consumers or call 1- 800-985-3059. The initiation of the patient-provider dispute resolution process will not adversely affect the quality of the services furnished to you.