HEAD & HEART THERAPY
Financial Policies
Please note as a courtesy we will verify insurance benefits and submit claims on your behalf. However, it is ultimately your responsibility to contact your health insurance company to ensure that services are covered. Therefore, we recommend that you call and verify, prior to receiving services, that we are considered in-network with your insurance plan. Please know that costs are due at the time of services rendered.
Additionally, we do ask that you provide us with at least 48 hours notice if you need to cancel an appointment. You will be responsible for the entire fee if you do not provide notice adequate notice.
Billing & Insurance Q & A:
What insurance companies are Head & Heart Therapy in-network with?
We are considered in-network with the following:
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Aetna (licensed clinicians only)
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Kaiser PNW (licensed clinicians only)
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Pacific Source (licensed clinicians only)
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Providence (licensed clinicians only)
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OHP (HealthShare/Care Oregon & Open Card). Please note we are not in-network with other forms of OHP such as Trillium, Pacific Source OHP, etc.
Please note that Student Therapists are only considered in-network with OHP (HealthShare & Open Card) and are not considered in-network with any private health insurance companies.
When calling my insurance company, what questions should I ask?
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Is Head & Heart Therapy/the therapist's name considered an in-network behavioral health provider for my plan?
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If so, how much is my co-pay per session?
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What is my annual deductible and has it been met for this year?
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When does my calendar year start?
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How many sessions per the calendar year does my plan cover?
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What percent of treatment is reimbursed per visit for an out-of-network provider
I have OHP, will therapy be covered for me?
It depends on what form of the Oregon Health Plan you have. If you have CareOregon then yes, therapy will be fully covered since we are considered in-network with Care Oregon! Please note that we are in-network with Open Card and Care Oregon/Health Share only. We, unfortunately, don't work with other forms of OHP. If you are unsure which OHP plan your coverage is through, reach out and we can check for you.
Why are your out of pocket rates so expensive?
Head & Heart Therapy has numerous overhead costs such as liability insurance, health insurance for employees, annual costs associated with licensure, and unfortunately we have significant taxes, among other business costs. Additonally, our staff are extensively trained, so therapy rates reflect our therapists knowledge and expertise. We also do our best to keep caseloads low so that therapists can put more attention on the clients they have.
Out of Pocket Fees*
Student rates
Service Provided Session Length CPT Code Fee
Diagnostic Evaluation 53 - 60 Minutes 90791 $185
(this is generally the first therapy session)
Individual Psychotherapy 53 - 60 Minutes 90837 $155
Individual Psychotherapy 90 Minutes N/A $200
Group Psychotherapy 60 - 120 Minutes 90853 $35
*For those who can’t afford our out-of-pocket rates, our income-based sliding scale fee schedule is available upon request. Email info@headandhearttherapypdx.com for more information and to learn if you qualify.
Out of pocket rates for our licensed clinicians (Sabrina Arnold and Sarah Dobey)
Service Provided Session Length CPT Code Fee
Diagnostic Evaluation 53 - 60 Minutes 90791 $285
(this is generally the first therapy session)
Individual Psychotherapy 53 - 60 Minutes 90837 $245
Individual Psychotherapy 90 Minutes N/A $325
Group Psychotherapy 60 - 120 Minutes 90853 $55