Fees, Insurance & Practice Policies

For eligible private-pay individual 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.

Superbills are not generally available for services that do not meet requirements for medical reimbursement, including some relationship-focused, premarital, discernment, and personal-growth services.

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.

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.

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.

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.

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.

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.

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.