The No Surprises Act of 2022 requires healthcare providers to provide you with a Good Faith Estimate at the beginning of our therapeutic relationship. I aim to be transparent with my fees from the beginning and recognize the importance of individuals knowing fully how much their mental health care will cost.
While I don’t accept any insurance, you are welcome to submit a Superbill to your insurance company (found in the Billing section of your portal account) for out-of-network services which may or may not be covered by your out-of-network benefits. If that is of interest to you, it is advised that you speak with your insurance company about how to file for reimbursement for your out-of-network benefits, what the deductible is, what is the out-of-pocket max, and if your out-of-network benefits cover behavioral/mental health therapy.
Sex Therapy-Online, PLLC and Rhiannon C. Beauregard, MA, LMFT-S, CST-S provide mental health therapy and sex therapy to individuals, couples, and relationships. Many services are offered in my practice and my goal with this estimate is to make sure there are no surprises and you know exactly how much each service costs and what you might expect to spend on therapy.
COMMON SERVICES PROVIDED AND FEES
- 90791- Initial Assessment Appointment, 90 minutes FEE: $350
- 90837- Follow Up Sessions for Individuals , 50 minutes FEE: $225
- 90834- Follow Up Sessions for Individuals/Relationships, 45 minutes FEE: $225
- 90837+- Follow Up Session for Relationships and Individuals, 75 minutes FEE: $335
- 90837++- Follow Up Sessions for Individuals/Relationships, 90 minutes FEE: $350
- 90832- Quick Check In Session, 30 minutes FEE: $135
OTHER SERVICES AND FEES
- Professional Consultation- Per 15-minute increment, FEE: $30 (Insurance will not reimburse for this service)
- Conversations with Health Care Provider or Insurance Company- Per 15-minute increment, FEE: $30 (Insurance will not reimburse for this service)
- Letter Writing/Filling Out Forms- Per 15-minute increment, FEE: $30 (Insurance will not reimburse for this service)
- Court Appearances: I do not appear in court on anyone’s behalf and have never been successfully subpoenaed. If I were to have to appear in court on a client’s behalf, my hourly rate would be $250 per hour of preparation and $250 per hour of appearance, and travel and wait times would be charged as well. (Insurance will not reimburse for this service)
- File Copy Fee: $.10 per page (Insurance will not reimburse you for this service)
- Credit Card Dispute Transaction Fee or Bank Dispute Transaction Fee: $35
Please note: all services have a 3% credit card fee added on top of the cost of the service. Insurance does not reimburse for credit card fees.
YOUR UNIQUE GOOD FAITH ESTIMATE
It’s hard to estimate the total cost of ongoing therapy for your unique situation. Some of my clients just meet for the Comprehensive Assessment Bundle but don’t choose to continue with ongoing therapy with me, while many of my clients have stayed with me in some capacity for over a decade.
All clients enter my private practice with the 90791- Initial Assessment Session, 90 minutes, and after that assessment session, we collaborate on what your treatment plan looks like. I usually recommend clients to meet with me more frequently (weekly) for the first three months and then we re-evaluate after 3-months to see if that pace of therapy is working for them and helping them move towards the outcome they are looking for. More frequently is usually recommended than less frequently, especially in the beginning, as we build momentum. It usually takes my clients quite a while to reach out to me and invest in their sexual health, and meeting less frequently could mean even more time before we make progress toward goals.
Additionally, with ongoing mental health and sex therapy, you may meet more frequently one week or month and less frequently another. It is the hope that with a clear and transparent fee schedule you can best estimate your unique costs.
However, to comply with the No Surprises Act, my practices Good Faith Estimate is as follows:
INDIVIDUALS
- 1 Initial Assessment Session, 90 Minutes: $350
- 48 Follow Up Sessions for Individuals, 50 minutes at $225 each: $10,800
- 2 Quick Check In Sessions, 30 minutes at $135 each $270
- 5 Professional Consultation Calls, 15 minutes: $150
TOTAL: $11,570 (this does not include Credit Card Processing Fees)
RELATIONSHIPS
- 1 Initial Assessment Session, 90 Minutes: $350
- 44 Follow Up Sessions for Relationships
- 75 minutes at $335 each: $14,740
- 4 Quick Check In Sessions, 30 minutes at $135 each: $540
- 10 Professional Consultation Calls, 15 minutes: $450
TOTAL: $16,080 (this does not include Credit Card Processing Fees)
(These estimates do not include the 3% credit card fee applied to all credit card transactions)
CANCELLATION POLICY
There is a standard cancellation policy that requires 24-hour notice for a cancellation. If less than 24 hours is given for a cancellation, half of the fee will be charged. If a client does not show for the appointment or cancels shortly before the start of the appointment, the full fee is charged. This policy is upheld and by signing this document, you authorize your credit card to be charged when you cancel with less than 24 hours notice or do not show for your appointment and do not cancel.
If you are using your medical insurance to be reimbursed for the sessions, you will not be provided a superbill for a missed appointment but rather you will need to pay the full fee for a missed appointment and half fee for less than 24 hours notice, with no opportunity for reimbursement. Emergencies are considered on a case-by-case basis.
If a client cancels three times throughout the course of treatment, it is assumed that now may not be the appropriate time for therapy. The therapist will address the repeated cancellations with the client and decide how to proceed. Generally, in order to stay a client, a NO CANCELLATION policy is enacted and sessions will need to be prepaid. If a client needs to cancel or no shows the appointment, the fee is forfeited. Please keep cancellations to a minimum since repeated cancellations prevent other committed clients from scheduling appointments at their preferred time.
PROVIDER INFORMATION
Rhiannon C. Beauregard NPI #: 1588890255 EIN #: 86-2700284
State Licenses:
Maine #MF3815
Massachusetts #1402
New Hampshire #142
New York #735-01
Texas #202341
Florida Telehealth Provider #64
OFFICE INFORMATION
All sessions take place via Telehealth however if an actual physical address is required, please contact me directly for this address.
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. 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. 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 are billed for more than this Good Faith Estimate, you have the right to 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 $35 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.
To learn more and get a form to start the process, go to www.cms.gov/nosurprises or call HHS at (800) 368-1019.
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) 368-1019.
Keep a copy of this Good Faith Estimate in a safe place or take pictures of it. You may need it if you are billed a higher amount.