Fees, Insurance & Practice Policies
Clear expectations support thoughtful care.
Therapy works best when the practical aspects of care are understood from the beginning. The information below offers a general overview of fees, insurance, scheduling, communication, and other practice policies at Maison Fleur.
Complete financial and practice policies are reviewed through the client portal before the first appointment.
Session Fees
Individual Therapy
$185 per 55-minute session
Couples & Relationship Therapy
$225 per 55-minute session
Payment is due at the time of service and is processed using the payment method securely stored in the client portal.
All cancellations require 48 business hours’ notice. Late cancellations/missed appointments are subject to a $150 fee.
Longer sessions may be available when clinically appropriate. Any difference in fee will be discussed in advance.
Insurance & Private Pay
Couples therapy, premarital counseling, discernment counseling, and other services focused primarily on a relationship are offered on a private-pay basis and are not billed to insurance.
Some individual therapy services may be eligible for insurance billing when:
I participate with the client’s insurance plan
the concerns being addressed qualify for a covered clinical diagnosis
the service meets the plan’s medical necessity and coverage requirements
Participation varies by insurance plan, and verification of benefits does not guarantee payment.
Clients are responsible for understanding their own benefits, including deductibles, copayments, coinsurance, exclusions, authorization requirements, and limitations on covered services. Any portion not paid by insurance remains the client’s responsibility.
Before treatment begins, I will clarify with you whether services will be billed through insurance or provided on a private-pay basis.
Practice Policies
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For eligible private-pay therapy services, a superbill may be available upon request.
A superbill is an itemized receipt that may be submitted to an insurance company for possible out-of-network reimbursement. It generally includes information required by the insurer, such as:
a clinical diagnosis
the service and billing code
the date of service
the session fee
provider information
Submitting a superbill does not guarantee reimbursement. Coverage and reimbursement are determined by the client’s insurance company.
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Clients may use eligible Health Savings Account or Flexible Spending Account funds when permitted by their plan.
Because eligibility varies by service and account rules, clients should confirm coverage directly with their plan administrator.
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Appointment times are reserved specifically for each client.
A minimum of 48 business hours’ notice is required to cancel or reschedule an appointment. Sessions canceled or rescheduled with fewer than 48 business hours’ notice, as well as missed appointments, are subject to a $150 late cancellation fee.
Because insurance does not reimburse for missed or late-canceled appointments, this fee is the client’s responsibility.
When an in-person session is no longer possible, telehealth may be available as an alternative when clinically appropriate.
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Email and text may be used for scheduling and brief administrative communication.
These methods are not intended for emergencies, crisis support, or ongoing therapy between appointments. Clinical concerns are best addressed during scheduled sessions, where there is adequate time, privacy, and space to respond thoughtfully.
Electronic communication cannot be guaranteed to be fully secure. Clients are encouraged to limit sensitive clinical information in email or text whenever possible.
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Requests for letters, forms, records, disability documentation, workplace or academic communication, or coordination with other professionals are considered individually.
Written authorization may be required. Additional time or fees may apply when a request involves substantial review, preparation, consultation, or documentation outside of a scheduled session.
Completion of documentation cannot be guaranteed when the requested opinion falls outside:
the scope of treatment
the available clinical information
the therapist’s professional role
the purpose for which therapy was established
Whenever possible, clients are encouraged to discuss documentation needs in advance.
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Couples therapy involves special considerations related to records, communication, privacy, and confidentiality.
These expectations—including how individual disclosures, between-session communication, and clinical records are handled—are reviewed before treatment begins.
Because the relationship is the focus of treatment, couples therapy differs in important ways from individual therapy. These distinctions will be discussed so that both partners understand the structure of care.
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Maison Fleur provides therapeutic services rather than forensic evaluation.
Therapy is distinct from:
custody evaluation
mediation
psychological testing
legal consultation
expert testimony
determination of parental fitness
I do not provide custody recommendations, make determinations about legal outcomes, or serve as an investigator for either party.
When clinically appropriate and authorized in writing, limited coordination with attorneys, guardians ad litem, physicians, schools, or other treating professionals may occur. Any communication will remain within the scope of treatment and the therapist’s professional role.
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Clients who are uninsured or who choose not to use insurance are entitled to receive information about the expected cost of care under the federal No Surprises Act.
A Good Faith Estimate reflects the anticipated cost of services based on the information available at the time it is prepared. Because the frequency and duration of therapy vary according to each client’s needs, the estimate is not a guarantee of the total length or cost of treatment.
Clients may request an updated Good Faith Estimate at any point during care.
Questions Before Beginning?
Questions about fees, insurance, scheduling, or practice policies are welcome before an appointment is scheduled.
Clear expectations allow the work itself to remain thoughtful, steady, and uninterrupted over time.
You don’t need certainty—only a willingness to begin.