Policies & FAQs
At Thrive Therapy, we value our clients right to privacy and to have a voice in their care during the therapeutic process, therefore we do not accept insurance. Therapists that accept insurance work under the constraints of the managed care companies and are not always able to provide the quality of services you or your child deserves. We want to provide you with the below information regarding why we do not accept insurance benefits for mental health services so that you can make an educated decision regarding your or your child’s care.
You may not get approved for the sessions you need
Insurance companies regulate how many sessions they will cover for a client, without regard for how frequently or how long a client may need to be seen. They don’t know your individual needs in a therapy session or what will work best for your family, their focus is on the monetary numbers.
Your or your child’s privacy is lost with a mandatory diagnosis
Since we do not accept insurance, our clients are afforded full privacy during the therapeutic process. We are not obligated to provide the insurance company with information regarding your mental health, including a diagnosis. Insurance companies require therapists to provide a mental health diagnosis for all mental health claims submitted in order for them to possibly be covered, even for children. Thrive Therapy feels it’s critical to provide parents with this information regarding mental health diagnosis being permanent on their child’s health records. We have seen many times clients choose to use their insurance benefits for mental health services and their child’s private health information is provided to the insurance company, including a diagnosis, for them to only be approved for a hand full of sessions, or not at all.
The majority of Thrive Therapy’s clients are not struggling with a mental illness. Our clients may have come to us for support and to acquire new skills or strategies for the changes happening in their lives. For example, insurance will not cover support services in relation to divorce, communication, parent education, and/or grief unless accompanied by a diagnosis.
You lose your ability to choose your therapist based on specialty
We find it important for you to have the choice of seeing a therapist that you choose instead of having to pick from a panel of therapist on your insurance plan that may not have the expertise you are needing. The therapist at Thrive Therapy have 12 years of combined experience in the specializations of play therapy, EMDR, trauma, mood disorders, and behavioral concerns that add great value to your dollars spent. Our referrals do not come from insurance companies. Families choose Thrive Therapy because of our reputation of providing high quality services.
Insurances may pay upfront initially, however may request you reimburse them
If you use your insurance benefits, the insurance company may not cover services, causing you to foot an unexpected bill. In addition, we have seen insurance companies initially pay out for your services, but to then come back months later to the client and request reimbursement due to not paying out in accordance to your plan or because you have secondary health insurance they feel should be paying instead.
Many insurance policies may reimburse for out-of-network therapists, but only after your deductible has been met. We would be happy to provide you with an invoice if you choose to request reimbursement from your insurance company. You would be responsible for paying for services in full upfront and then can submit to your insurance for reimbursement. Once again, your insurance company will not process your claim for reimbursement without a diagnosis of a mental disorder. For more information on how out-of-network billing works, check out our FAQs page.
Limitation of Services
We offer outpatient psychotherapy, consultation, and educational services only. This practice is not geared to aid in the case of emergency. While we do maintain an after-hours voicemail service, this does not guarantee the availability of emergency psychotherapy coverage. Should you require emergency services after hours, please call 911 or go to your nearest hospital. For after hours mental health resources in Lee County, call SalusCare at (239) 275-3222. For Collier County, call David Lawrence Center at (239) 455-8500.
Cost of Therapy
Our fees vary based on the type of service that is provided and are competitive with other mental health practitioners in the area.
|Biopsychosocial Assessment||$165.00 per 60 minute session|
|Individual Therapy Sessions||$135.00 per 50 minute session|
|Family Therapy Sessions||$235.00 per 1 hour and 30 minute session|
Please be advised that the fee for service is due at the time the service is rendered. Payments can be provided via cash, check, and/or credit card. We accept Visa, MasterCard, American Express and Discover. All credit card transactions will accrue a 3.00% convenience fee. For returned checks you will be charged the current bank fee of $20.00. Returned checks must be picked up within three (3) business days and the full amount due including the bank fee must be paid in cash.
Surprise Medical Bills: Your Rights & Protections
When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
What is "balance billing" (sometimes called "suprise billing")?
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.
“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.
“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care - like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.
You are protected from balance billing for:
If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.
Certain services at an in-network hospital or ambulatory surgical center
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.
If you get other services at these in-network facilities, out-of-network providers can’t balance bill you unless you give written consent and give up your protections.
You’re never required to give up your protection from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.
When balance billing isn't allowed, you also have the following protections:
- You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.
- Your health plan generally must:
- Cover emergency services without requiring you to get approval for services in advance (prior authorization).
- Cover emergency services by out-of-network providers.
- Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
- Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.
If you believe you’ve been wrongly billed, you may contact:
Florida Secretary of State
P. O. Box 6327
Tallahassee, FL 32314
Visit https://www.cms.gov/files/document/model-disclosure-notice-patient-protections-against-surprise-billing-providers-facilities-health.pdf for more information about your rights under Federal law.
At Thrive Therapy, we value our clients time and commitment to treatment, therefore we reserve for you a full hour of our time for your session and clinical notes. If it is necessary for you to cancel an appointment, a notice of 48 business hours (2 business days) is required prior to your scheduled appointment day and time or the full fee for services of $135.00 will be charged to your credit card on file. A cancelled appointment delays our work and we are rarely able to fill a cancelled session unless our office in notified at least 48 hours in advance. In the case of inclement weather and/or illness of the therapist, the therapist will notify you by telephone prior to your scheduled session of the cancelation. Otherwise, all sessions will continue as scheduled for your reserved time slot. If you cancel two consecutive times, you will be at risk of losing your designated time slot for your appointment. If you provide a late cancelation or do not show for your appointment, you will be charged the day of your missed appointment via your credit card on file the full fee for service of $135.00
So What’s the Big Deal?
Having a cancellation policy is very important for your success in treatment and our counseling practice for several reasons including;
Commitment and Consistency Benefits the Therapeutic Relationship
Starting counseling can be an emotional and confusing time, so setting up expectations for commitment from the start is beneficial to your treatment success. At Thrive, you know what to expect when you attend sessions with us and know that our services are consistent across our practice. Therapy tends to be most helpful to people who view their appointments as an important and valuable component to their lives or their child’s lives.
Consistency is key to counseling. Clients who make counseling a priority and attend regular sessions in alignment with their treatment plan generally experience quicker and more lasting positive change in their lives. Building a foundation of trust with your therapist can take time. Clients who miss appointments break the momentum that they’ve gained with their therapist. We also believe that consistency results in longer-lasting, positive outcomes for our clients.
Healthy Boundaries Promote Growth
Our cancellation policy is not a penalty or a punishment. The vast majority of our clients understand that enforcing the policy is meant to help maintain healthy boundaries. People feel safe with boundaries, people build trust with healthy boundaries. We want to send the message that we follow through with the policy we have clearly set in advanced and do what we say we will. You want to know that your therapist is honest and takes your treatment seriously. Feeling safe in the therapeutic relationship helps facilitate an environment for growth.
It’s Your Session Slot
We strive to schedule sessions consistently at the same time, same day, each week to help you with scheduling your life and other commitments. Having your specific time slot helps minimize the likely hood of you having a scheduling conflict or forgetting about your appointment, thus less likely for the cancelation fee to be charged. We understand that life happens; you’ll need to work late, you’ll get a sudden onset of the flu, your car will break down, or something unavoidable will come up. We are never upset with clients when they miss an appointment and we know it happens. In return, our clients understand that scheduling an appointment is like buying tickets to an event. If you miss the event, it doesn’t matter why you missed it, or even if it was your first time, you cannot turn in your tickets for a refund.
Missed Productivity Time
When a client cancels late or no shows we miss the opportunity to use that time productively. We could be home with our families, grabbing lunch, or catching up on other work. Instead the therapist spends time during the slot you may have no showed trying to check in and see if you are ok or waiting to see if you will show up.
Sessions Are Preplanned
Our therapist are thinking about you and your care outside of your actual session by getting activities and resources prepared well in advanced. We do not just sit down with clients for their scheduled slots and wing it. The mental health counseling relationship is unique in comparison to other medical doctors where there may be minimal prep-work for the individual patient seen prior to their appointment. While a medical doctor can see 35 patients in a day, a full time therapist generally sees approximately 20-25 clients in an entire week. If a client cancels with less than a full 48 hours notice, we will not be able to fill that time slot and lose an entire hour of work from our schedule and all of the preplanning goes uncompensated.
Therapy is Also A Financial Commitment
Clients who are truly committed to receiving the highest quality care should be financially committed to seeing their treatment plan through from start to finish. Habitually canceling or not showing for your appointments doesn’t get you the best “bang for your buck” in terms of progress for the financial investment. Our therapists have extensive experience in working in the mental health field. They also have special credentials in highly sought-after modalities that they’ve completed additional training to master. There is a direct connection between the rates we charge and the quality of services that you receive.
Full Rate Instead of Partial Rate
We charge the full session rate to ensure that you remain committed to the therapy process. Charging a reduced fee makes it easier to be less committed to the therapeutic process because it’s not as big of a “financial hit”. Some clients weigh out a reduced cancel fee as a “throw away” amount of money, especially when they don’t feel up to attending session or it may feel inconvenient that day to stay committed to attendance. A reduced cancelation fee has been shown to cause clients to be more likely to cancel or no show and this ultimately impacts your progress through treatment in a timely manner.
We Have A Waitlist
Thrive Therapy is recognized as a high quality and sought after practice for treatment. We consistently have a waitlist of adults and children needing services in our area. Enforcing our cancelation policy allows for clients needing services to receive them. You wouldn’t want to stay on the waitlist for months while other clients are not committed to treatment and taking up valuable time that you could be getting help for yourself or child. Many of your fellow residents who need our help are unable to receive the care that they so desperately need when you don’t show up to your appointment or cancel your session with less than 48 business hours notice. It pains us to know that this is the case and others miss out.
Practice Expenses Don’t Change
You should understand that our overhead expenses don’t decrease if a client chooses not to attend their appointment. Overhead expenses remain the same regardless of whether a client shows up for their appointment or not. We’re still obligated to pay our rent/mortgage, utilities, insurance, our therapists’ salaries, and other expenses for every appointment that we have available and our doors are open.
The costs associated with running a private practice like Thrive Therapy are significant. We offer high-quality services and personalized care. Larger mental health agencies treat clients more like a number instead of as a person.
Having habitual late client cancelations or no shows drastically impacts our ability to provide personalized treatment in a private practice setting.
We very much appreciate you putting your trust in us to care for you or your child here at Thrive Therapy! We thank you in advance for understanding how our cancellation policy is aimed at protecting you and your therapists’ respective interests. If you have any further questions or concerns we would be happy to address them. Thank you for understanding!
How do I know if my child or I need counseling?
We serve as individuals that help you navigate through your psychological growth. If you or your child are having difficulty with functioning or adjusting to stressors at school, work, or home it may be time to schedule an appointment. Generally, a teacher or physician may bring up a concern that may be best addressed in counseling.
How many counseling sessions will my child or I need?
Your counselor will gather information in the initial assessment to collaboratively create a treatment plan. The amount of sessions needed vary based on the client and their needs, however the average client attends treatment for 10-12 weeks. Some clients require further sessions and others require less.
Does Thrive Therapy accept my insurance?
At Thrive Therapy, we value our client’s privacy and to have a voice in their care during their time in counseling, therefore we do not accept insurance. In order to be reimbursed by insurance, a diagnosis of a mental disorder needs to be provided. This is something that stays in your or your child’s records indefinitely. The majority of our clients are not struggling with mental illness. Several insurance companies do provide resimbursement for out-of-network therapists, but the deductible has to be met first and a mental health diagnosis will still need to be provided. Please see the Cost of Therapy section above for more information.
How does out-of-network insurance billing work?
Thrive Therapy is registered to bill as an out-of-network provider for most insurance companies. The benefit of out-of-network services is that the client has the ability to choose their desired provider and not be limited by the contracted in-network providers. The disadvantage is having to provide a mental diagnosis that will stay in your or your child’s record indefinitely. For billing purposes, we collect the full rate at time of service. Then as a courtesy we will submit an out-of-network claim on your behalf. Depending on your benefits plan and once your out-of-network deductible has been met, you may be eligible for reimbursement at a percentage of the session rate. Reimbursement will be sent directly to you from your insurance company. We encourage you to contact your insurance company to inquire about your specific out-of-network coverage as not all plans have out-of-network coverage.
What type of payment is accepted?
Thrive Therapy requires that payment for services be rendered at time of service. We accept cash, check, and all major credit cards including Visa, MasterCard, Discover and American Express.
What is confidentiality?
Confidentiality is the privileged communication between a client and their counselor. At Thrive Therapy we pride ourselves in keeping your personal information and concerns private. In short, what is said in counseling, stays in counseling. Limits to confidentiality include; if there is suspected child or elder abuse, threat to harm yourself or others, and/or if records are subpoenaed by a judge.
Do children have the right to confidentiality?
Confidentiality is different when working with a child. As a child’s legal guardian, the parent has a right to know what goes on in the therapy session. However, at Thrive Therapy we feel strongly that the therapeutic relationship is most effective when the child has a level of privacy. Children are more likely to open up in sessions when they are not in fear that the therapist will be relaying all information back to the parent. Overall themes, feelings, and progress will be discussed with parents. Confidentiality is broken if/when a child discloses something that may be harmful to the themselves or others.
Who can provide play therapy to my child?
As with other helping professions, it is important that services be provided by a trained professional in the field of counseling. A “Registered Play Therapist” is a counselor that has undergone extensive training to become certified by the Association for Play Therapy. Many professionals may say that they work with children, however do your research and ask questions to clarify the level of training they have undergone to specialize in working with your child.
What do I tell my child about counseling?
It is important to explain to your child, in an age appropriate manner, about counseling and why they are attending prior to their initial appointment. You may want to say “We are going to talk to someone that works with children to help you feel better”. Explain to the child that they will be going to meet Ms. Rachel or Ms. Elizabeth and have their own special time to play and talk with their therapist. It can also be helpful to show your child a picture of their therapist prior to the assessment to help build reassurance before their appointment.
How can I ask my child about their sessions or progress in therapy?
It is detrimental to the child’s progress to pressure your child to talk about their sessions. In order for a trusting therapeutic relationship to grow and healthy self-expression be made, a level of privacy needs to be upheld. The therapist will relay to the parent information from sessions in regards to the child’s safety and/or vital information if it arises.
Who do I call in case of an emergency?
Thrive Therapy is not set-up for crisis intervention. Please direct all emergencies to SalusCare at 239-275-3222, David Lawrence Center at 239-455-8500, or 9-1-1.
What is psycho-educational testing?
Psychoeducational testing is administered in a one-on-one setting with a qualified professional. This comprehensive evaluation is designed to measure a child’s cognitive processing abilities (including logical reasoning, memory, attention, and executive functioning), current level of academic knowledge in various subject areas, and to screen social, behavioral, and emotional functioning. Many parents worry that getting a psychoeducational assessment means there is something wrong with their child. This is a myth. A psychoeducational assessment is a way to determine your child’s strengths and weaknesses in many different areas. Not only are these insights empowering but also act as a roadmap for ensuring your child learns and develops to their full potential. Knowing which natural strengths you should help your child to develop is important to improving their happiness and quality of life in the future.
Who would benefit from testing?
All children have difficulties at school from time to time academically, socially and behaviorally. However, if your child continues to struggle greatly and consistently in certain areas despite having classroom accommodations or additional help being provided, it would likely be valuable to seek out a psychoeducational assessment. Additionally, some signs that your child would probably benefit from a psychoeducational assessment include:
- A progressively worsening attitude toward school
- Persistently disruptive behavior in class
- Consistent difficulty focusing on tasks
- Poor performance in one specific area or subject
- Difficulty remembering what they have studied
- Performing poorly in test despite having studied for it
- Reports of appearing “bored” and not engaged
- Frequent emotional outbursts and difficulty self-regulating
- Struggle to communicate with same age peers
- Interest in qualifying for gifted program at school
- Difficulty in social situations and social problem solving
What type of clinician can do testing?
Psychoeducational testing is completed by a clinically trained examiner. Usually a Licensed Psychologist or Licensed School Psychologist with years of education and experience administering, scoring, and interpreting assessments. A highly trained psychometrician can also administer testing and act as a supportive professional to the Psychologist.
What is the testing process at Thrive Therapy?
At Thrive, we don’t just administer testing and provide the results. We pride ourselves on our extensive explanation of the results during your feedback session, as well as individualized next steps and ways to support your child. Additionally, we are in your corner and available to advocate for your child at their school meetings. A comprehensive psychoeducational evaluation at Thrive will include:
- Initial interview to gain background information and the reason for testing or concerns
- Review of records, either medical, academic, or psychiatric
- Standardized testing in areas of intelligence, academic achievement, attention, memory, and emotional functioning
- School observation, if needed
- Testing is scored and interpreted and a comprehensive evaluation is written
- Feedback session to provide testing results
- Possible education diagnosis is discussed, and a list of individualized recommendations are provided
Will my insurance cover testing?
Yes and no. While such testing can be extremely valuable and worthwhile, health insurance companies do not consider psychoeducational testing a medical service. Instead, they look at it as being the responsibility of either the child’s parents or sometimes the school district. Insurance companies cover testing that is considered “medically necessary”. This usually means that the ‘educational’ parts of psychoeducational evaluations are not covered because academic functioning isn’t considered “medically necessary” by most insurance companies. Instead, you pay for the psychoeducational evaluation out of pocket, and we will provide you with an itemized receipt called a superbill. You can then submit the superbill to your insurance company for them to process. The amount you paid will either: go towards meeting your annual deductible, or, you’ll get reimbursed a percentage of your cost if you’ve met your deductible. Please contact your insurance company for more information.
How can I prepare my child for testing?
It is important to normalize the testing processes, many children receive testing. It is not necessary for your child to prepare with studying material and coaching your child will not be needed. Tell them that the will be “answering some questions to identify their strengths and areas that need improvement” and to “do your best”. Make sure they are well rested, well feed and hydrated. Expect to provide a great deal of information detailing both your child’s medical and developmental history and their current social and behavioral functioning. Come prepared with any relevant medical reports and your child’s academic records and be ready to schedule a number of hours for your child to receive one-on-one testing. Testing is completed over several morning sessions depending on your child’s stamina.
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What happens at your first appointment?
What To Expect At Your First Appointment
At your first appointment, we conduct a Biopsychosocial assessment discussing personal background information and presenting concerns. Upon completion of the assessment, your therapist will advise you as to the appropriate plan of care. Typically sessions are provided on a weekly basis based on the level of care needed. Although clients present with individualized needs, the average clients attends treatment for 10-12 sessions. Some client require further sessions and others require less. Individual sessions last for 50 minutes. Family sessions last for 1 hour and 30 minutes. All sessions are by appointment only. Hours of operation are Monday through Friday 9:00am-6:00pm. Flexible evening appointments are available.
Prior to your first session, you will be provided with access to the client portal. There you will be able to fill out and review your intake paperwork. We will be glad to answer any questions about the paperwork at your assessment.