Payments & Policies

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INSURANCE INFORMATION:

I no longer accept HMO and health insurance plans.

IF YOU HAVE A PPO PLAN (Preferred Provider Option— you can choose who to see and the plan reimburses a percentage): I receive your payment at the time of our meeting. I'm happy to provide you with a Superbill containing the codes and receipts you will forward to your plan to get the reimbursement rolling. Your insurance company will provide you the details of how much reimbursement you might receive. I recommend checking in with them so you will know what to expect, and whether or not paying me up front for a percentage of reimbursement is within your financial reach. In our initial contact, please let me know if you will need receipts or codes to claim reimbursement.

ACCEPTABLE FORMS OF PAYMENT:

Check, cash, Venmo (@judY-silvan), Paypal (judysilvan@mac.com)*, credit cards**, ‘Transfer’, Zelle and other direct-transfer applications; payment to be received at the time of the services. If you choose to use your credit card I will bill for each session and this will occur during the week of the session (before the weekend following). Typically it is same day billing, either the morning the session will occur, or just after the work day ends.

*Patient is responsible for any fees taken out of the payment by PayPal; you can click “friends and family” to avoid the fee.

* If your care has been inactive for three months, or there is no agreed-upon plan to account for longer periods of gaps in care, it is assumed you are no longer in need of services. Your file will be closed and the therapist-patient relationship will terminate. Other grounds for termination include three consecutive missed appointments without adequate notice, abusive or violent behaviors, and failure to maintain financial responsibility.


* For new referrals who identify as Black, Indigenous or Transgender, I am able to slide my fee. Please feel free to let me know at the time of initial contact or in our initial appointment. Together we can decide on a fee that makes sense for you as gesture of reparations for exclusions and oppression in the field and beyond.

**Unfortunately I don’t offer any other reduced fee slots now other than for AEDP Research Patients; they come up on rare occasion. Please feel free to inquire.

Fees:

FULL FEE:

$350 with a SLIDING SCALE from $350-$300. Please choose your fee from this scale.

50-55 minutes — First 3 sessions are an Assessment Period

INDIVIDUAL THERAPY:

(50-55 minutes) $350-$300
1.25 sessions (75 minutes) - $405
1.5 sessions (90 minutes) - $450

COUPLES THERAPY:

50-55 minutes - $350; no sliding scale for Couple Therapy

AEDP SUPERVISION

50-55 minute sessions with Sliding Fee Scale: $350-$285. (Please choose the amount you’re able to pay).

50-55 minutes remote Coaching Sessions - $450

$300/hour for collateral email, out-of-session paper work, including court appearances (billed in 15 minute increments)

CANCELLATIONS:

Patient, client or supervisee is responsible for payment, once an appointment is scheduled. **EXCEPTION: With 48 hours notice AND if both parties agree on a new time during the same week as original appointment: Payment can cover the latter session.

If less than 48 hours notice is given, appointment can be cancelled and re-scheduled, and client is responsible for both hours’ fees.

payment & contact policies:

Please email me to request an initial appointment, sharing a bit about what you are seeking in psychotherapy, coaching, or supervision. Please limit use of emails during course of psychotherapy to logistics.

PAYMENT IS DUE AT THE TIME OF APPOINTMENT.
**I require 48 business hours notice for changes and cancellations to waive fee for initial session. This holds ONLY IF another appointment is made during the SAME BUSINESS WEEK. Without 48 business hours, client is responsible for the fee of both sessions— if we reschedule, even during the same week.

For confidentiality & HIPAA compliance: Due to the liabilities of confidentiality on the internet, please do not send me content-filled or risk-laden emails. Please make an appointment for face-to-face or virtual conversation.