Billing

Please provide a minimum of 24 hour notice that you are no longer able to keep your appointment. There is a nominal charge of $50 for late cancelled appointments (less than 24 hours notice) and no-shows, however, please be aware multiple late cancels/no-shows may end in termination of services.

It is $250 per session (50+ minutes per session) via video conference session payable at the time of service. – We do accept insurance, also offer a discounted cash pay option and have sliding scale fee for those with proof of financial need if choosing to not use insurance benefits – see below for more detail. We can discuss financial need during the consultation call or feel free to message me with any questions.

Yes, however every plan is unique to the employer and or employee, so while Samantha is IN network with many plans, the insurance determines which plans are covered. Some clients whose insurances are Out of network may have the option to opt out and switch to private pay cost and or use Out of Network benefits, read here for more information regarding pros and cons of not using insurance.

Samantha is independently contracted with:

• Medicaid: Straight state/BadgerCare/Forward Health/Cenpatico/Security Health/Network Health/ MHS
  • Please note Medicaid is different from Medicare – While some plans like UHC have opted Samantha into their medicare plans, it is not something Samantha is familiar with as far as billing- you will need to privately contact your insurance for verification of treatment payment prior to a consultation.
• Tava Health : Tava is our third party biller. Samantha is credentialed on many insurances, private pay is preferred. Many insurances, including Anthem BCBS, Cigna, Aetna and more and currently are waiting on Health partners. Samantha is not currently accepting EAP clients
• Talkiatry- New as of 2026!!! Samantha is joining Talkiatry as a full time employee, they were excited to welcome Samantha who is now licensed in Wisconsin, Colorado , Florida and soon Missouri! They appreciate your patience with Samantha’s start date due to the challenges that come with licensing and credentialing as each state and insurance have differences in processing time.
• Due to change in employment – Samantha will be no longer be accepting new clients on Teladoc and Talkspace

We do not accept Medicare–We have no plans to start submitting claims / billing services / become in network- or – opt out of – Medicare at this time due to the platforms Samantha is connected to. Please contact your insurance directly for in network Medicare accepting provider.

Occasionally plans will have secondary coverage, to cover what the primary insurance may not. This may be called an “HMO”. Please note: Samantha is not paneled with all insurance companies, therefore if your plan has a secondary insurance attached, Samantha may be considered “out of network”; please contact your insurance to ask about “OON- Out of Network benefits” for coverage for sessions, as they will only talk to the client and not the provider. You will also need to contact both insurances to ensure a “coordination of benefits” is in place prior to starting sessions to assist with easier billing if choosing to use your insurance benefits.

There are many good reasons to use insurance, as well as reasons it may be best not to.

What does this mean? First knowing what it means to use your insurance alone is important.

When using insurance for therapy, Samantha is required to provide a diagnosis to the insurance company for reimbursement of services. Not everyone is comfortable with this option. This diagnosis will follow you in your health record and may be required to be documented on all health documents as a pre-existing condition.

Opting out- We have two options – a flat fee cash rate with no documentation to submit to insurance, or OON – Out of Network Benefits

You would choose not to use your in network- insurance – instead you would pay the providers contracted rate at time of session and submit a “super-bill” to your insurance to be reimbursed by what your insurance is deemed an out of network contracted rate – some will reimburse 50-70% of the bill to you. Other insurances will offer a lower reimbursement rate and or no reimbursement for Out of network usage.

If choosing the flat cash rate there would be no paperwork or calls to insurance regarding therapy sessions. This fee would not go toward your deductible and cannot be refunded at a later time if you choose to “opt in” to using insurance benefits. Samantha has a form to fill out discussing this alongside the regular financial document and Good Faith Estimate document required by law from health providers for cash or insurance pay clients.

• We use a third-party billing service called “Tava Health” for clients using (some but not all plans through): Aetna, Cigna, Blue Cross Blue Shield (of Massachusetts).
• Samantha has a platform to do her own billing with most major insurances, and will be utilizing Tava Health to assist with some of the other insurances, as they will do the communication on behalf of both Samantha and the client at no extra cost to either side.

We offer 15-20-minute complimentary video consultation to discuss concerns, and if we feel we are a good fit we can move forward with services or discuss a referral out.

We accept cash, credit, Stripe or PayPal for your copay/coinsurance charge. We will send you electronic paperwork to add your insurance and card information at the time of the phone consultation if deciding to move forward with services at that time.  A card is required to be on file and paperwork must be filled out prior to the first intake session.

• Please note your Copay, if you have one, is due at time of service. Cards will be charged at midnight day of session or by the end of the work week unless a private discussion is had regarding payment.
• When using insurance, a claim is submitted at the end of the day and can take up to 45 days to process, if there are any concerns or changes with copays or coinsurance at the time Samantha receives the acceptance or denial, Samantha will reach out to you.
• Services may be covered in full or in part by your health insurance or employee benefit plan. If your insurance does not cover the full session they may state you have to pay a certain amount, known as copay or coinsurance. Please know that your rate will be based on what your insurance companies reimburse, which Samantha has no control over.
• In the event you stop communicating and the card on file is unable to be charged, Samantha will submit your invoices and overdue charge account to a local debt collector company.

Yes, many choose to have a flat rate discounted cash fee of $100 per 50-minute or 30 minute session, if choosing to have more then one hour the price will increase $50 per added hour. Cards are charged at midnight. I currently accept credit cards, HSA cards/checks, or Pay Pal. With proof of financial need, we can discuss a lower rate. 

Will be assessed a $25 NSF (non-sufficient funds) check fee.

• Does my plan have out-of-network benefits?
• Do I have a deductible? How much is it? Have I met any portion of my deductible with other medical expenses this year?
• What is the cost or % of each session? (usually referred to as “co-insurance” payment)
• Is there a limit for the number of “outpatient” mental health or psychotherapy sessions I am entitled to for the benefit year?
• Does my plan require “pre-authorization” or a referral from a Medical Doctor (MD) or Primary Care Physician?
• What amount or % of the psychotherapy fee will be reimbursed?
• We will also work with you if we are not an “in-network” provider. For insurances we are not credentialed with, my services are considered “out-of-network” benefits and may ask for a “superbill”

Use this script when calling: Hello [insert insurance company] agency worker, my name is [state your name]. I am currently engaging in counseling services in the state of Wisconsin and would like to verify that my plan allows telehealth or video counseling. The billing codes 90834 or 90837 will be used – and my therapist has set up a secure video platform to see me. If they confirm that they allow this type of session, please ask for what is called a “Modifier” – usually a 2-digit code like: GT or 96. As we move forward this platform (video counseling) is available to nearly everyone who is working with me, and I am confident that it is only temporary, although it can be a valuable tool for us to connect, we work through your unique struggles. If you have questions, please make sure to reach out and ask via email.