Fees & Insurance

Coverage varies widely, so it is recommended you verify your coverage directly with your insurance. You can do so by visiting your insurance carrier's website, calling the customer service number on the number on the back of your insurance card, or reviewing your policy documents.Make sure to confirm:Which services are covered.What copays, deductibles, or coinsurance would be applied (what is the patient responsibility cost).Whether telehealth is covered.If a pre-authorization is required.If applicable, if the patient responsibility changes for in-person vs. telehealth appointments.

In some cases. Insurance only covers sessions when they are medically necessary to treat the diagnosis of one identified family member. Sessions cannot be solely focused on 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.

Yes, in limited cases. Secondary insurance only pays if your clinician is in-network with both plans, or in some cases, if a coordination of benefits is completed in advance.If we are not informed of multiple insurance plans in advance and no coordination of benefits has been initiated, you may be responsible for the full session cost.

You can request for the Client Portal to automatically generate a monthly superbill that you may submit to your insurance plan for potential out-of-network reimbursement. If you’re experiencing financial hardship, ask about a sliding scale plan during your consultation.

The best way to prevent surprise balances is to fully understand your insurance benefits and keep us updated on any changes to your coverage.You are responsible for:Verifying your benefits before starting care.Informing us promptly of any changes or lapses in private insurance or Medicaid.Updating us if major life changes occur that may impact your coverage (e.g., marriage, pregnancy, changes in disability status, turning 65, moving, or changing jobs).While we can usually estimate your copay, if your plan has a deductible or coinsurance, your final cost can vary. We bill for coinsurance or deductible amounts after your claim processes, since other medical visits you have may affect what you owe.Disclaimer: Claims can take 30–60+ days to process, so errors may not be discovered until you’ve already had multiple sessions.

A superbill is a detailed invoice generated through your Client Portal that you can submit to your insurance company to request reimbursement for out-of-network services. Please email general@holistichealingpdx.com if you would like to receive monthly superbills automatically.We recommend calling your insurance provider prior to your first session to ensure your specific provider meets their reimbursement criteria for out-of-network benefits.

Most private insurance plans offer some mental healthh coverage, but you could owe part (or all) of the session fee through deductibles, coinsurance, or copays.If your plan is employer-funded, it is especially important to confirm that Holistic Healing PDX is a participating provider in the network and that mental health services are a covered benefit.If your plan doesn't cover our services, you would be responsible for fees, charged at the time of service to the card on file. View our Out-of-Pocket FAQs for more information.