Usual and Customary Fees
Susan Martinez LMFT Supervisor: $110 (45 minutes) . Private Pay, EAP, and Insurance.
Laine Stansell LMFT Associate: $60 (45 minutes). Private Pay only.
Shemila Chancellor, LCSW is an independent practitioner and has her own fees and policies. Please contact her directly for information.
Prepare/Enrich: Standardized Assessment available for couples. Additional one-time $35 fee (not covered by insurance).
Laine Stansell LMFT Associate: $60 (45 minutes). Private Pay only.
Shemila Chancellor, LCSW is an independent practitioner and has her own fees and policies. Please contact her directly for information.
Prepare/Enrich: Standardized Assessment available for couples. Additional one-time $35 fee (not covered by insurance).
Insurance
Services provided by Susan Martinez directly are covered by insurance, in and out of network, for covered services, as indicated below. Services provided by LMFT Associates are not covered by insurance.
What are covered services? Insurance covers services that are "medically necessary" to treat a mental health condition. Individual and family therapy for issues such as anxiety, ADD/ADHD, adjustment disorder with disturbance of emotions or conduct/behavior, and depression are covered, and can be diagnosed and submitted to insurance company for payment or you can waive use of insurance, if you prefer to pay privately. Couples counseling, Marriage counseling, relationship counseling, pre-marital counseling are not covered by your insurance plan. These non-covered services are paid for private pay/out of pocket and/or optionally with your EAP (Employee Assistance Program) benefits through your employer.
EAP only covers a limited number of sessions, at no cost to you, for assessment, short term problem solving, and referrals. If you choose to continue therapy beyond the authorized number of EAP sessions you would pay for services out of pocket or with insurance, depending on if services are medically necessary or not. EAP services are not based on medical necessity and covers a wide range of issues for individuals, couples, families (e.g. drug/alcohol, stress, relationship problems, parenting issues and more). Contact your EAP for preauthorization.
Accepted In Network
Blue Cross Blue Shield PPO/POS Insurance (NOT HMO)
Tricare
MHN (Insurance and EAP)
Aetna (Insurance and EAP)
Humana Lifesynch (Insurance and EAP)
Alliance WP EAP
Deer Oaks EAP
Network Advantage EAP
ACI Specialty Benefits EAP
Accepted Out of Network
Cigna
United Healthcare
Not accepted
Medicare
Medicaid
What are covered services? Insurance covers services that are "medically necessary" to treat a mental health condition. Individual and family therapy for issues such as anxiety, ADD/ADHD, adjustment disorder with disturbance of emotions or conduct/behavior, and depression are covered, and can be diagnosed and submitted to insurance company for payment or you can waive use of insurance, if you prefer to pay privately. Couples counseling, Marriage counseling, relationship counseling, pre-marital counseling are not covered by your insurance plan. These non-covered services are paid for private pay/out of pocket and/or optionally with your EAP (Employee Assistance Program) benefits through your employer.
EAP only covers a limited number of sessions, at no cost to you, for assessment, short term problem solving, and referrals. If you choose to continue therapy beyond the authorized number of EAP sessions you would pay for services out of pocket or with insurance, depending on if services are medically necessary or not. EAP services are not based on medical necessity and covers a wide range of issues for individuals, couples, families (e.g. drug/alcohol, stress, relationship problems, parenting issues and more). Contact your EAP for preauthorization.
Accepted In Network
Blue Cross Blue Shield PPO/POS Insurance (NOT HMO)
Tricare
MHN (Insurance and EAP)
Aetna (Insurance and EAP)
Humana Lifesynch (Insurance and EAP)
Alliance WP EAP
Deer Oaks EAP
Network Advantage EAP
ACI Specialty Benefits EAP
Accepted Out of Network
Cigna
United Healthcare
Not accepted
Medicare
Medicaid
HIPAA Policy
When you schedule an appointment, you will be emailed the necessary intake paperwork to print, complete, and bring with you to the first session. For your reference, a copy of my office hipaa policies is always available for you to review here:
hipaa_notice_of_privacy_practices.pdf | |
File Size: | 35 kb |
File Type: |
Non-Discrimination Policy: I do not discriminate based on race, color, creed, religion, sex, gender, national origin, citizenship, ethnicity, marital status, age, disability, sexual orientation, gender identity and gender expression, veteran status, or any other status protected by applicable law to the extent prohibited by law. My counseling office provides an atmosphere of respect, dignity, acceptance and safety for all clients. This nondiscrimination policy covers employment and access to and the process of receiving counseling services.