Insurance & Rates
Insurance:
We are currently in-network providers with Anthem/BCBS and Humana. We are not in-network with any other insurance provider.
Services may be covered in full or in part by your health insurance or employee benefit plan. We always encourage our clients to take time to call your insurer to find out more about your individual plan. Please check your coverage carefully by asking the following questions:
- Do I have mental health insurance benefits?
- What is my deductible and has it been met?
- How many sessions per year does my health insurance cover?
- Is approval required from my primary care physician?
We will also verify mental health coverage prior to your first session. To do so, we will need the following information:
- Your insurance company
- The customer service number on the back of the card
- Your member and group ID numbers
- The main subscriber’s date of birth as well as the client (if a child or spouse)
Please note that benefits are an agreement between you and your insurance company. We cannot guarantee any insurance coverage or reimbursement. If you have eligibility concerns or questions, you should contact your insurance provider directly.
Out of Network:
If we are not an in-network provider, we can provide you with a superbill for you to file with your insurer. You would pay Sunshine Child & Family Counseling for services rendered, then we would provide you with a superbill, once you have your superbill(s) you can submit these to your insurance company for out-of -network reimbursement. Your insurance company would directly reimburse you.
Superbills help you and your insurance company understand what services were provided and how much you paid. Superbills include the following information: provider information: name, address, contact details of the practice, client information such as name, address, date of birth, date of service, CPT codes, diagnosis codes, charges for services rendered.
Rates:
Our self pay rates range from $140.00 to $170.00 for a therapy hour. Rates are based upon the therapist’s licensure level, certification credentials and length of experience. A reduced fee agreement can be given to clients upon need and request.
Telehealth:
We offer Telehealth services as an option to all clients. We utilize Google Workspace which is a secure HIPAA compliant platform.
Most insurance companies are covering Telehealth services. Please reach out to us to set up an appointment or to ask more questions on how we can serve you.
Payment:
Cash, check, Visa, MasterCard, Discover, and American Express are accepted for payment. If you chose to pay by credit card, there is a $3.00 charge to swipe your card.
Cancellation Policy:
If you do not show up for your scheduled therapy appointment, and you have not notified your therapist at least 24 hours in advance, you will be required to pay the full cost of the session. Insurance benefits do not cover the cost of missed appointments, so this would be your responsibility. This cancellation policy also applies to Telehealth appointments.
Credentials:
Credentials can be confusing! What are all these letters and what do they mean?
LPC – Licensed Professional Counselor
LAPC- Licensed Associate Professional Counselor
LCSW- Licensed Clinical Social Worker
LMSW- Licensed Master Social Worker
MSW- Master of Social Work
M.A. – Master of Arts
M.S. – Master of Science
M.Ed. – Master of Education
RPT- Registered Play Therapist
RPT-S – Registered Play Therapist Supervisor
CPCS- Certified Professional Counselor Supervisor