Fee Schedule


Mediation / Facilitation Services $175.00 per 60-minute unit hour
Client Session (Divorce Coaching) $160.00 per 60-minute unit hour
Initial Evaluation (Psychotherapy) $180.00 ($120 per 60-minute unit hour)
Client Session (Psychotherapy) $120.00 per 60-minute unit hour
Client Session (Group Therapy) $60.00 per 45-minute unit hour
Initial Session for Marriage Counseling $300.00 (2.5 hours with the couple)
Follow-up Sessions for Marriage Counseling $180.00 (1.5 hours with the couple
Professional Consultation $60.00 per 30-minute unit hour
Narratives $50.00 per page, maximum $500.00
Court Testimony $200.00 per hour, maximum $1000.00 per day.
Travel & Costs
Travel to other facilities is charged from the point of departure to the time of arrival according to the same rate as the service being rendered. Costs, e.g. parking will be billed to the client.

Payment of Fees

Payment is due at the time of the session. Acceptable methods of payment are Visa, Mastercard, American Express, Discover, personal / business check, cash or money order. A detailed insurance-ready receipt will be given to you.

Cancellations

Once you schedule a session, please remember that the social worker has reserved a slot exclusively for you; therefore, kindly give at least 48-hour notice if a session needs to be cancelled, or you will be charged for the missed visit and payment will have to be satisfied prior to rescheduling.

Health Insurance

Risks & Benefits
There are risks and benefits for using health insurance. It is important for clients to be informed in advance of the differences between private pay therapy and direct insurance assignment. RISKS The limits of what is covered by health insurance, the shorter time intervals (45 minutes), the band-aid mentality of "brief treatment", and the requirement that the practitioner diagnose a mental disorder are all risks for using health insurance. Diagnoses are catalogued in the National Clearing House of Diagnoses and may be available to attorneys researching your medical background. BENEFITS The benefit is that the cost-share for the client is much less.

Marriage Counseling
Marriage counseling is not covered by health insurance because insurance plans require treatment to be medically necessary. Claim forms also require a diagnosis of a mental health issue, or they will be declined for payment. Marriage counseling and psychotherapy are not the same thing even though they are both rendered by mental health professionals. Because Mr. Barrilleaux cannot use a diagnosis with marriage counseling, he will not under any circumstances bill an insurance plan for marriage counseling. There are no exceptions. Understand that in the alternative, sometimes conjoint couple therapy is indicated as a treatment modality for individual clients receiving psychotherapy for targeted mental health issues; but this is not marital counseling. The two are different.

In-Network Benefits
Third-party reimbursement is the responsibility of the patient unless Mr. Barrilleaux happens to be on the insurance plan. Mr. Barrilleaux is on very few plans because he would prefer to work for the client as opposed to the insurance company. However, since LCSWs (Licensed Clinical Social Workers) are third-party reimbursable providers, if your plan has out-of-network mental health benefits on an outpatient basis, you may qualify to get reimbursed by your plan under that benefit. Please refer to the Out-of-Network benefit information below.

Because Mr. Barrilleaux is neither a Medicare/Medicaid Provider, Tri-Care, or Blue Cross provider, and does not have either Medicare/Medicaid/Tri-Care/Blue Cross provider #s assigned to him by them, we are not able file claims for you with these plans for reimbursement as they will not be honored. In the alternative, should one of these plans have out-of-network coverage, you should follow the directions in your insurance contract to determine if and how you may file a claim to be reimbursed for fees paid for psychotherapy.

Out-of-Network Benefits
In the event Mr. Barrilleaux is not a participating provider on your insurance plan, you may be eligible for reimbursement if your plan has an Out-of-Network benefit. LCSWs (Licensed Clinical Social Workers) are third-party reimbursable providers; therefore, if your plan has out-of-network mental health benefits on an outpatient basis, you may qualify to get reimbursed by your plan. Typically, there is an out-of-network deductible which would have to be met per calendar year, after which most plans pay at a reduced rate between 50-70% of usual & customary charges. Out-of-network benefits are also typically paid directly to the enrollee. You are responsible for paying your fee in full at the time the service is rendered according to the fee schedule. You will receive a detailed insurance-ready receipt to file with your insurance plan if you wish to pursue reimbursement.

Insurance plans we can accept on an out-of-network basis, provided the plan is a PPO or POS plan which has out-of-network benefits, include the following: Aetna, Cigna, GEHA, Gilsbar, and PHCS.

Because Mr. Barrilleaux is neither a Medicare/Medicaid Provider, Tri-Care, or Blue Cross provider, and does not have either Medicare/Medicaid/Tri-Care/Blue Cross provider #s assigned to him by them, we cannot file claims for you with these plans for reimbursement as they will not be honored. In the alternative, should one of these plans have out-of-network coverage, you should follow the directions in your insurance contract to determine if and how you may file a claim to be reimbursed for fees paid for psychotherapy.

Health Savings Accounts (HSA)
If you have a Health Savings Account linked to a Visa or Mastercard, Clinical Consultants LLC has a health provider merchant number which makes us eligible to bill your HSA for services rendered. This is yet another way to help minimize your out-of-pocket costs.

Employee Assistance Programs & Special Agreements
It has been our experience and that of many of our clients that traditional Employee Assistance Programs are broken: they do not work as they were once designed. The EAP contract dangles the 2-5 free session carrot as an employee benefit, but when the employee tries to use the benefit, particularly in a crisis, it is found to be severely deficient because the service is designed as a brief service with a band-aid mentality. Attempts by providers to ethically render a meaningful service are thwarted with non-payment if the provider increases the length of a session. Mr. Barrilleaux will not enter into EAP contracts because he cannot faithfully serve the clients who need him at a critical time in their lives because of EAP contract constraints. In the alternative, Clinical Consultants LLC will enter into agreements by Memoranda of Understanding with some employers to minimize or altogether waive out-of-pocket fees and penalties for clinical services rendered to their employees and their dependents. Mr. Barrilleaux would be happy to speak with any employer or human resources director about initiating such an agreement.

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