Financial Responsibility & Fees
Tier One Counseling Collective
Your inner circle of support
Session Rates (Private Pay)
Initial Intake / Diagnostic Evaluation (60–75 min): $150
Standard Therapy Session (53–60 min): $135
Extended / ART / Complex Session (80–90 min): $160
Insurance & Payment
If you are using commercial insurance or Medicare:
You are responsible for your copayment, coinsurance, deductible, and any non-covered services.
Insurance does not cover missed appointments or late cancellations.
A valid credit/debit card or HSA/FSA card is required to be kept securely on file for all client-responsibility charges.
Insurance participation may vary by clinician as providers complete the credentialing process. We verify your insurance benefits as a courtesy before your first appointment and will inform you of your expected copayment, deductible, coinsurance, and any estimated out-of-pocket costs based on the information provided by your insurance carrier.
We currently participate with many major insurance plans, including:
Anthem Blue Cross Blue Shield
Aetna
Humana
Humana Military / TRICARE East
UnitedHealthcare
Cigna
Many Medicare and Medicare Advantage plans
Please note that insurance verification is not a guarantee of payment or coverage. Clients are ultimately responsible for confirming their mental health benefits, network status, and financial responsibility with their insurance carrier.
Medicaid: At this time, Tier One Counseling Collective has reached capacity for Medicaid referrals and is not accepting new Medicaid clients.
Self-Pay: Self-pay services are available. Upon request, we can provide a superbill for clients seeking potential out-of-network reimbursement. Reimbursement is determined solely by your insurance carrier and cannot be guaranteed.
Payment
Payment is due at the time of each session. A valid payment method is required to be securely maintained on file and may be used for:
Copayments, coinsurance, deductibles, and other client-responsibility balances
Late cancellation fees
No-show fees
Please keep your payment information current to help avoid interruptions in scheduling or delays in billing.
Cancellation & No-Show Policy
Your appointment time is reserved exclusively for you. To avoid a cancellation fee, please provide at least 24 hours' notice if you need to cancel or reschedule your appointment.
Late Cancellation (less than 24 hours' notice): $75
No-Show: $100
These fees are not covered by insurance and are the client's responsibility.
Emergency Exceptions
We understand that unexpected situations can arise. Cancellation fees may be waived for true emergencies, such as sudden illness, hospitalization, or safety-related crises. Work obligations, transportation issues, oversleeping, childcare challenges, or scheduling errors are generally not considered emergencies.
Recurring Appointments
Clients with two or more late cancellations or no-shows within a three-month period may lose their recurring appointment time. We value consistency in treatment and want to ensure appointment availability for all clients seeking care.
Outstanding Balances
Clients are responsible for any balance determined by their insurance plan, including copayments, deductibles, coinsurance, and non-covered services. Balances may be charged to the payment method securely stored on file. Accounts with outstanding balances may be required to resolve the balance before scheduling future appointments.
Self-Pay & Out-of-Network Benefits
Private-pay clients may request a superbill for potential out-of-network reimbursement. Reimbursement is determined by your insurance carrier, is not guaranteed, and any reimbursement will be paid directly to you by your insurance company.
By participating in services at Tier One Counseling Collective, you acknowledge and agree to these financial policies and agree to maintain a valid payment method on file.
We understand that life happens, and our policies are designed to support a consistent, respectful therapeutic experience for everyone. Honoring scheduled appointments and financial agreements allows us to provide timely access to care, maintain continuity of treatment, and preserve appointment availability for all clients.