Frequently Asked Questions

First session / Comprehensive Clinical Assessment: $150

Individual 60 minute session: $140

Couple and Family 60 minute session: $190

Psychosocial Assessment for Immigration: $1,000

These fees are for self pay clients. The cost of sessions with Medicaid and insurance providers will be determined after a verification of benefits is conducted and will be confirmed after insurance receives initial claim for services. For more information on insurance coverage, please see FAQ.

• Health Insurance is hard to understand and confusing for almost everyone. You may have coverage, but you have no idea if it will cover mental health and how much your out of pocket costs will be.

Our clinicians will take your policy information and request a quote from your insurance company if our therapist accepts insurance. We can usually get a good idea about your coverage but it is not a guarantee that the insurance will cover the cost of sessions.

Each company's benefits, eligibility, deductibles, copayments, co-insurance, and out of pocket costs vary as does each specific policy (there can be hundreds) within the company. Its very difficult to understand, however these are the important points to remember:

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• Simply because your insurance company has provided a quote of coverage, it is not a guarantee of coverage or payment of services. All claims will be decided by the insurance company when they process the claim. You continue to be financially responsible for the payment of all services you receive regardless of insurance denials or issues. Each of our clinicians must meet insurance credentialing & contracting requirements to accept each individual insurance.

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• If you have a secondary insurance, from a spouse, other parent, a supplemental policy-- you must notify us. Failure to bill your secondary insurance will result a payback occurring from the first insurer. If too much time has passed, the primary insurers can deny the claim as well as the secondary insurers and you will be responsible for the entire bill. This is prevented by disclosing all insurance polices. If you have Medicaid aside from another insurance, Medicaid will act as a secondary payer and will require that a claim be first submitted to the primary insurance and then to Medicaid if there is an outstanding balance.

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• Not all clinicians are paneled with all insurance companies. Even some clinicians that are listed as paneled on insurance sites may have decided to not longer accept insurance because of extremely low reimbursement rates. Please make sure you check with your clinician at each appointment. 

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• Not all clinicians can accept you as a client just because your insurance is listed. You may have to be placed on a waiting list or referred to another clinician for a quicker appointment. 

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• Some insurance companies use an entirely different insurance company to administer and manage their Mental Health Benefits. This is called a "Carve Out". This can further complicate your benefits as your provider will also have to be in-network with this secondary company as well. ​

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• Just because you clinician is "in-network" with your insurance company does not mean they can accept all plans. This is the insurance company's decision which plans a provider can accept.

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• The insurance company has the right to ask to review your record that can include details of your sessions in order to determine if the services it is paying for, has paid for or will pay for are medically necessary according to its judgement and policy limitations. 

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• Insurance companies have the right and often practice review of paid claims and can seek that claims paid to the provider be returned for up to 2 years- even if it was the insurance company that made the mistake. In that situation, you will be contacted and required to pay the amount recouped by the insurance company.

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All clients should contact customer service prior to the beginning of therapy to verify benefits and ask questions about your mental health coverage.

Questions to ask:

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• Please tell them you are inquiring about your "Mental Health Benefits" 
• Does this insurance company administer my Mental Health Benefits? If not, what company does?
• Is Mariposa Therapeutic Services, PLLC or my provider (give therapist's name) an in-network provider for my policy?
• If they are not in-network, do I have out of network benefits and what are they?
• Is there a secondary insurance listed? If yes, please ask for details.
• What are my outpatient in the office benefits?
• What must I pay out of pocket before my insurance covers any charges (deductible)?
• Do I have co-insurance and if so, how much?
• Do I have a copayment and if so, how much?

We are currently in-network with the following Medicaid providers; Amerihealth Caritas, Carolina Complete, Healthy Blue, and WellCare. We are also in network with the following commercial insurances; Aetna, Blue Cross Blue Shield and Medcost. Please check back later for an updated list of accepted insurance providers. We are actively working on obtaining contracts with various insurance and other Medicaid providers. Please check back later for an updated list of accepted insurance providers.

There can be a lot of confusion around the difference between clinical mental health counseling, psychology, clinical social work, and “therapy”. Therapists are professionals who are trained and licensed to provide a variety of treatments and rehabilitation for people. Therapists can be psychoanalysts, marriage counselors, social workers, and psychologists, among other specialties. Psychologists are required to obtain a doctorate degree to be able to practice in a clinical setting. Our therapists are Licensed Clinical Social Work Associates, which allows them to practice at the clinical level while under supervision.

Our therapists are Licensed Clinical Social Work Associates and cannot prescribe medication. For medication management needs, our therapists can work with you am refer you to a psychiatrist or another professional who is licensed to prescribe medication. 

Our therapists reserve spaces on their caseload for sliding scale clients. Availability and an appropriate rate will be determined with your therapist. Please do not hesitate to reach out with questions or concerns about fees or sliding scale options.