Fees & Insurance

Please contact us to request more information or make an appointment!

There is no doubt that therapy is expensive. It is also true that you, and your mental health, are very valuable. At Choices, we work hard to keep our fees reasonable, and to make quality therapy services available for all people. Information about our fee schedule, insurance, and our policy regarding missed appointments, can be found below.

All clinical appointments are 55 minutes long, leaving the remainder of the hour for the therapist to complete paperwork and schedule the next session.

Fees are expected at the time of services. Fees are inclusive of all services rendered, meaning that if we need to coordinate services with other providers, write psychosocial letters regarding your care, or communicate with your insurance company, this is no extra charge.

For your convenience, we accept cash, credit card, or check. If a check bounces, we will charge the bank fees to your account. We are happy to write you a receipt for taxes, flex spending, or insurance reimbursement.


When working with Arlene…

Fees for clinical services with Arlene Lev, LCSWR, CASAC, CST Clinical Director, are $150 an hour.

When working with Staff…

The staff at Choices are post-graduate social work and psychology clinicians who have expertise in working with individuals and families. Their rates are $100 per session, and reduced rates on a sliding scale may be negotiated directly with the therapist.

The sliding scale fee is determined by financial need, which can include employment status, dis/ability, stay-at-home parenting, and other life challenges. Commitment to making expert therapeutic services available to all is a guiding principle of our clinical value.

When working with Interns…

Choices is pleased to work with various colleges who place social work, psychology, and mental health counselors for yearly internships. These students are in Master’s and PhD programs, and are able to work with clients on a reduced sliding scale. We are excited to support their learning opportunities as well as provide clients reasonably priced clinical services. If you have financial constraints please ask about our intern availability.

Missed Appointment Fees

If you cancel an appointment you must give 24 hours notice (48 is preferred) by telephone. This allows the therapist to schedule another client during this time. The therapist will try to offer you another alternate time for scheduling during that week, if possible. If the client cannot reschedule during that week, the session is forfeited and the client is responsible for the fee. Missed appointments are charged at the full session rate.

Note: Insurance companies do not provide reimbursement for cancelled sessions.

Although fees are due at the time of service, if your account has not been paid for more than 60 days and arrangements for payment have not been made, Choices has the option of using legal means to secure the payment. If such legal action is necessary, its costs will be included in the claim.


Insurance reimbursement is available at Choices.

Currently we participate with CDPHP, Blue Cross Blue Shield, Blue Shield NENY and MVP

Please Note: Different therapists can accept different insurances; make sure that you are scheduling with someone who takes your insurance by speaking with our Practice Manager.

We also work with many insurance companies who reimburse for services rendered, often referred to as “out of network benefits.” You must check with your insurance company as to whether they offer out of network benefits. Generally, they will reimburse 50 – 80% after the yearly deductible. Therapists are glad to fill out all the necessary paperwork to assist you in being reimbursed for the cost of therapy.

Some insurance companies will allow the therapist to offer a “single case agreement” or “provider accommodation,” which essentially means that they will contract with the service provider  even though they are not in their network. They will agree to do this if there is no one in their network who is an expert in the services you are seeking, or if it is an issue of “continuity of care,” i.e., you already have established a working relationship with an out-of-network provider. You must contact your insurance company and find out if this service is available.

It is important that you update your insurance information yearly, as your benefits can change.

Insurance coverage can be especially confusing, so we’ve put together a section below for your reference when contacting your provider.

Questions to Ask Your Insurance Carrier

    • Is my therapist an in-network provider for this insurance company?
      • If so, what is my co-pay for in-network providers?
      • If not, do you reimburse for out-of-network providers and at what rate?
      •  Do I need to pre-certify mental health sessions?

        • If yes, can you give me a code for pre-certification?
  •  Do I need to re-certify after a certain number of sessions?
  •  What is the maximum number of sessions I’m allowed a year?
  •  What is the maximum lifetime mental health coverage I’m allowed?
  •  Do I have a co-pay and if so, what is it?
  •  Do I have co-insurance and, if so, what is it?
  •  Is my medical and mental health deductible combined?
  •  How much of my deductible has been met already?
  • Are their limitations of which diagnoses are reimbursable?

We offer daytime, evening, Saturday, and some Sunday appointments.

Accepting CDPHP, Blue Cross Blue Shield, Blue Shield NENY, MVP

Choices offices are and always have been wheelchair accessible.

Center Support

Additionally, the Capital Region Pride Center Support Counseling provides low cost counseling services.

The Center Support Counseling Program is staffed by student interns who are in the graduate Social Welfare program at the University at Albany and are under the Clinical Supervision of Arlene Istar Lev LCSW-R, CASAC

Center Support Counseling Sliding Scale rates range from $10-$40. Please contact Center Support directly at 518-462-6138.