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 ensure that services are covered. Therefore, we recommend that you call and verify 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 is Head & Heart Therapy in-network with?
We are considered in-network with the following:
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Aetna
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Pacific Source
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Providence
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OHP (HealthShare/Care Oregon & Open Card)
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 HealthShare/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 only. We, unfortunately, don't work with other forms of OHP.
Out of Pocket Fees*
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
Case Management 15 - 60 Minutes T1016 $120
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.