Insurance & Fees

FAQ: How much does each individual provider and/or private practice generally charge per session?

Charges/fees vary depending on who you would like to schedule with. Here are a few examples:

• $110-245* Initial Consultation
• $110-180* Per Therapeutic Hour (45 to 60-minute session)
• $180-270* Per New and Follow-Up Patient Visit (60 to 90-minute visit)
• $60* Per Group Therapy (90 to 120-minute session)

*Rates vary depending on your selected provider.

Superbill(s):

We can provide a Superbill, an extended statement, on behalf of your provider with all of the required information to submit to your insurance company for reimbursement (reimbursement is based on your coverage and out-of-network benefits). If you have OON benefits and insurance reimburses for a percentage of the cost per visit, insurance companies will generally reimburse the client directly. Verify with your insurance company. Billing OON, you agree to pay the fees charged for services rendered at the time of your appointment regardless if insurance pays or not.

If it helps save you time, our Office & Billing Manager will be happy to check your out-of-network benefits. A majority of LCHW members are out-of-network and non-contracted with any insurance company.

In-Network Coverage

There’s a few members and/or private practices in-network and contracted with major insurance providers listed below to help patients access care while minimizing out-of-pocket expenses.

*Cost per session, copay, or coinsurance will vary depending on your insurance provider and selected clinician. Please call our office to confirm if your clinician you would like to schedule with is in-network with your insurance provider and to verify your in-network benefits. The most accurate information about your benefits and out-of-pocket costs will come directly from your insurance provider.

Select individual providers (sole proprietors) and/or private practices are currently in-network or accept the following insurance:

• Premera
• Regence
• Kaiser

Each LCHW member and/or individual provider (sole proprietor) and/or private practice determines their own rates. Please call our LCHW management team to check current rates and coverage.

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Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much services provided will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or contact your individual provider and/or LCHW management team hello@lecenterhealth.com. Thank you!