Insurance & Fees

At Choices, all staff and independent contractors are post-graduate social work and psychology clinicians who have expertise in working with individuals and families. Fees for clinical services are $150 an hour, and we offer a sliding scale fee schedule based on financial need, which can include employment status, disability, stay-at-home parenting, and other life challenges. There is no doubt that therapy is expensive, and 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 insurance and our policy regarding missed appointments can be found below.

Most services are being provided remotely through Telehealth. Please note that we are currently experiencing wait times for services. We appreciate your understanding!

We have therapists who participate with: Aetna, Blue Shield of Northeastern NY, CDPHP, Cigna, Empire Blue Cross Blue Shield, Empire Plan NYSHIP, GHI, Medicare, and MVP. We also work with many insurance companies who reimburse for services rendered, often referred to as “out of network benefits.” You can check with your insurance company as to whether they offer out of network benefits. We are glad to fill out all the necessary paperwork to assist you in being reimbursed for the cost of therapy, or we can sometimes bill directly and you will get reimbursed. It is important that you update your insurance information yearly, as your benefits can change. Please be aware that certain insurance plans are only accepted by a small number of our clinicians. If you have any questions, please email our administrative team at billing@choicesconsulting.com.

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.

Missed Appointment Fees

If you cancel an appointment you must give 24 hours notice (48 is preferred) by telephone or email. 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 a $50 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, the costs will be included in the claim. We always prefer to work with you regarding overdue fees.

Important information about the No Surprises Act — Your Rights & Protections Against Receiving Surprise Medical Bills