Fees & FAQs

Straight answers about cost, payment, and how this practice works, so nothing about the money is a mystery.

Session Fees

Coaching packages and private intensives are designed and quoted individually.

Do you accept health insurance?

No. Couch Conversations is a private-pay practice. Payment is due in full at the time of service: a card is kept securely on file in your HIPAA-compliant client portal and charged after each session, with a receipt emailed to you.

What forms of payment do you accept?

Credit cards, debit cards, and HSA/FSA cards, processed through the secure client portal.

Can I use my insurance for reimbursement? What is a superbill?

Some insurance plans reimburse for out-of-network therapy, depending on your specific plan and its own variables. If yours does, I can provide a superbill, a detailed receipt you submit to your insurance company, which shares some information about our work with them in exchange for potential reimbursement.

Many clients choose to skip this step so that everything about our work together remains completely private. Either way, the choice is yours, and I'm happy to answer questions at your consultation.

Do you offer complimentary consultations?

Yes. Every working relationship starts with a complimentary 15-minute consultation, a conversation, not a commitment. You can request a time here.

What is your cancellation policy?

Appointments canceled with less than 48 hours' notice are charged the full session fee. Your session time is reserved for you alone, and 48 hours gives someone else the chance to use it.

Good Faith Estimate · Notice of your rights

You have the right to receive a Good Faith Estimate explaining how much your medical and mental health care will cost. 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 your care before you schedule a service. The estimate is based on information known at the time it is created and does not include unknown or unexpected costs that may arise during care; in non-emergency circumstances you will be provided with an updated estimate for any new expected charges.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the bill. You may contact the provider to ask that the bill be updated to match the estimate, negotiate the bill, or ask about financial assistance. You may also start a dispute resolution process with the U.S. Department of Health and Human Services within 120 calendar days of the date on the original bill.

Keep a copy or picture of your Good Faith Estimate. To learn more or get a dispute form, visit www.cms.gov/nosurprises or call 1-877-696-6775.