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INSURANCE & PAYMENT  ·  SPOKANE VALLEY, WA

Getting help shouldn't feel like 
homework.

We want to make the financial side of therapy as simple and stress-free as possible. Here's what you need to know.

YOUR OPTIONS

We offer several ways to cover care.

Whether you're using insurance, paying privately, or somewhere in between, we'll help you figure out what makes sense for your situation.

IN-NETWORK

Aetna
Insurance

We're in-network with Aetna, which means your sessions may be covered at a lower cost to you, depending on your plan's deductible and copay structure.

  • We bill Aetna directly on your behalf

  • You pay your copay or deductible portion at the time of service

  • Benefits vary by plan, so we recommend calling the member services number on your insurance card to confirm your mental health coverage

IN-NETWORK

Premera
Blue Cross Blue Shield

We're in-network with Premera BCBS. If you carry a Premera plan, your mental health benefits may apply to sessions at The Couch.

  • We bill Premera directly on your behalf

  • Your cost depends on your specific plan's copay and deductible

  • Call the number on your card and ask about your outpatient mental health benefits before your first session

IN-NETWORK

Cigna &
Evernorth

We're in-network with Cigna and Evernorth. If your employer or individual plan is through Cigna, your mental health benefits may apply to sessions at The Couch.

  • We bill Cigna directly on your     behalf

  • Your cost depends on your specific plan's copay and deductible

  • Call the number on your card and ask about your outpatient mental health benefits before your first session

PRIVATE PAY

Private Pay
& Superbills

Paying privately gives you full flexibility and privacy. And if you have out-of-network benefits, a superbill can help you get reimbursed by your insurance.

  • Pay directly at the time of your session

  • We provide detailed superbills upon request for out-of-network reimbursement

  • HSA and FSA cards accepted

  • Your records stay more private without insurance involvement

SUPERBILLS EXPLAINED

WE ACCEPT

Using insurance 
out-of-network?

All major credit and debit cards

HSA and FSA cards

If your insurance isn't one we're in-network with, you may still be able to get reimbursed for part of your session costs. Here's how it works.

WHAT'S A SUPERBILL?

A superbill is a detailed receipt that includes the session date, diagnosis codes, and procedure codes your insurance company needs to process a claim. We provide them upon request, and you submit them directly to your insurer for potential reimbursement. They are generated and emailed on the 5th of each month.

Before your first session, we recommend calling the member services number on your insurance card and asking: "Do I have out-of-network mental health benefits, and what is my reimbursement rate for outpatient psychotherapy?" We're happy to help you think through this.

Cancellation Policy

Clients must provide a minimum of 24 business hours advance notice to cancel or reschedule their appointment to avoid a missed session fee (our full bill rate). 

Monday appointments must be canceled before 5 PM on the previous Thursday.

When is Payment Collected?

Payment is collected at the time of your session through our secure client portal. You'll receive an automatic receipt after each payment, which you can use for your records or submit with a superbill.

GOOD FAITH ESTIMATE

Under the No Surprises Act, you have the right to receive a Good Faith Estimate of your expected costs before beginning services. We provide this automatically before your first session. If you have questions about what it means, just ask.

FREQUENTLY ASKED QUESTIONS

Your questions about
 coverage & payment answered.

Ready to take the first step?

We'll help you figure out your coverage and find the right fit.
No pressure, no awkwardness.

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