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  • Will the appointments be recorded?
    None of our appointments are ever recorded or stored.
  • Is virtual therapy private and confidential?
    All of our therapists are qualified and licensed to practice psychotherapy in the state of Massachusetts. Please visit our “About” page on our website to view each of our associates and their specific credentials.
  • Does your practice offer in-person appointments?
    Our practice is exclusively telehealth-based.
  • Is everything we discuss confidential?
    All sessions are private and confidential, with the only exceptions of if you are a danger to yourself or others, or if there's any sign of child or elder abuse. Your therapist will send you our confidentiality agreement to sign before your session.
  • Is your practice accepting new clients and do you offer online appointment requests?
    We are currently accepting new clients and our therapists are available for appointment requests through our website. Our therapists offer free consultation appointments.
  • Does your practice offer telehealth appointments?
    Our practice offers only telehealth appointments. Our website enables you to schedule consultations with one of our therapists.
  • What if I am traveling out of state?
    State regulations regarding Telehealth sessions are ever-evolving and often vary depending on your therapist's credentials. Please advise your therapist if you plan to travel or move out of state so that you can explore your options for therapy while you're away.
  • What are your credentials?
    All of our therapists are qualified and licensed to practice psychotherapy in the state of Massachusetts. Please visit our About page to view each of our associates and their specific credentials.
  • What’s the difference between an Independent clinical social worker, therapist, psychologist, and counselor?
    You may have noticed that some of our therapists have different credentials. All credentials allow them to practice psychotherapy in the state of Massachusetts but their credentials reflect different years of experience and different levels of training. Independent clinical social workers (LICSWs), Mental health counselors (LMHCs), and marriage and family therapists (LMFTs) all hold masters-level degrees and provide psychotherapy for a range of issues. A psychologist has a doctorate in psychology or philosophy and also can provide psychotherapy. If you’re not sure which type of provider you need, we suggest searching through our provider profiles and choosing the provider that seems like they might be the best fit based on speciality and therapy style.
  • What does Out-of-Network mean?
    Therapists at our practice are all out-of-network providers. This means that your insurance company typically will reimburse you directly after you've met your deductible. We provide super billing where you submit claims to your insurance company through Reimburisfy. Being out-of-network provides you with more privacy and confidentiality, while in-network providers are required to share more information with insurance companies, such as session notes. Visit our How Insurance Works page to learn more. We're able to work with your out-of-network insurance benefits for most major insurance companies.
  • Can I get a receipt, invoice or superbill?
    Absolutely. We’ve optimized the process so you can access all documents in the client portal. We can also send and re-send documents directly to you at your request or at a designated interval time.
  • I’m not sure where to start. How can I use my insurance for therapy?
    We know that dealing with insurance companies can be a bit complex and not very fun. Visit How Insurance Works page for a step-by-step breakdown of the overall process. If you have questions, feel free to ask your therapist during your initial consultation.
  • Are there any forms I need to fill out?
    All of our forms are digital and can be accessed in your online client portal.
  • What information do you share with the insurance company?
    A diagnosis must be assigned, as well as other basic information, such as name, date of birth, address, etc.
  • What is a deductible?
    This is the amount you have to pay for health care services before your insurance begins any reimbursement. For example, let’s say your insurance covers 50% of each psychotherapy session, but only after you reach a $1,000 deductible. If each session is $200, you would have to pay for 5 sessions before you reach your deductible ($200 per session x 5 sessions = $1,000). In this case, after reaching your deductible, your insurance would reimburse $100 (50% of $200) and you would be responsible for a $100 balance.
  • Help, I don’t understand these insurance terms!
    Allowed Amount: Or “negotiated rate,” is the maximum amount that your insurance company will pay for a covered service based on your plan. If the allowed amount your plan pays for mental health services is $100, for example, and your therapist charges $125 per session, you would be responsible for paying $25. This is also known as "Balance Billing.” Balance Billing: The difference in the allowed amount the insurance company pays and what the provider charges. See example under “Allowed Amount.” CMS 1500 Form: This form is used to submit services rendered to insurance companies. Insurance companies need this form to properly process reimbursements. Co-Payment: This is a fixed amount that you are responsible for paying when receiving health care services that are covered by insurance. You may also see the term co-insurance, this is essentially the same as a co-payment, but is often reflected as a percentage. For example, a 20% co-insurance means that you would pay 20% of the allowed amount and the insurance company would pay the rest. You may have to first reach your plan’s deductible amount before reimbursement benefits kick in. Deductible: This is the amount you have to pay for health care services before your insurance begins any reimbursement. So for example, let’s say your insurance covers 50% for each psychotherapy session, but only after you reach a $1,000 deductible. If each session is $200, you would have to pay for 5 sessions before you reach your deductible ($200 per session x 5 sessions = $1,000). In this case, after reaching your deductible your insurance would reimburse $100 (50% of $200) and you would be responsible for a $100 balance. Exclusive Provider Organization (EPO): A plan where services are only covered by doctors, specialists, or hospitals that are within the plan’s network, except in the event of an emergency. Family Deductible: If you are under a family plan, the family must collectively reach a certain amount before getting reimbursed by the insurance company. Health Maintenance Organization (HMO): A plan that typically limits the services it covers to health care professionals who work for or are in contract with the HMO, usually not covering out-of-network services (except in an emergency). Although this type of plan is more restrictive, premiums are often much lower and have either low or no deductible. Individual Deductible: If you have an individual insurance plan, this is the amount you must reach before your insurance company begins reimbursing you. In-Network Providers: These are health care providers that have a contract with your insurance company. Out-of-Network Providers: Health care providers who are not contracted with your insurance company. Out-of-pocket Maximum: This is the most you will spend on covered services during the policy year, after which your insurance will pay for 100% of the services covered under the plan. Point of Service (POS): A plan where you pay less to see health care providers within the plan’s network. This plan requires that you obtain a referral from your primary care physician (PCP) to see a specialist. Preferred Provider Organization (PPO): Like a POS plan, a PPO plan allows you to pay less to see a health care provider within the plan’s network. You may also see an out-of-network provider under this plan without needing a referral, but for an additional cost. Premium: The amount you pay the insurance company each month depending on your plan. Superbill: This is an itemized form that reflects the services providers, similar to a receipt. UCR (Usual, Customary, and Reasonable): This is the amount paid for services based on your geographic location. For example, in Boston, the UCR rate for out-of-pocket psychotherapy is typically between $175 and $300.
  • What are your standard rates?
    Therapy is an investment, however, costs should never get in the way of therapy. Therapy rates start at $150/hour depending on the therapist. Please reach out so we can work together to determine what would be reasonable for you.
  • Do you offer a sliding scale?
    Neurodiverse Counseling is proud to offer low cost and high quality counseling sessions through our counselor internship program. Our interns work with us for two semesters, so clients potentially could work with their counselor for up to 9 months. For intern sessions, our rate is $75 per 45 minute session.
  • Can I use my insurance for online therapy?
    Yes! We work with clients insured by insurance companies through their out-of-network benefits. Companies include: Optum, Cigna, BCBS, and others. Although we are not "in-network" providers, we offer out-of-network services, and we provide super billing so that you can get reimbursed more easily. Being out-of-network providers also allows us more privacy and confidentiality, while in-network providers are required to share more information with insurance companies, such as session notes.
  • Why do you have to diagnose for insurance?
    This is a requirement when submitting claims to insurance companies as it is viewed as a medical service. For insurance companies to reimburse therapy services, a diagnosis must be assigned.
  • What is super billing?
    With super billing, we help you understand your Out-of-Network Insurance Benefits. When you pay for therapy, you will receive a receipt (also known as a “superbill”) from your therapist then submit your claim through Reimbursify. You’ll still get reimbursed, now just without as many headaches. We use two unique portals to save you time and energy. If you have any concerns with billing or charges to your credit card, please speak to your therapist before disputing the charge. If you choose to dispute a charge, you may be compromising the privacy and confidentiality of your Protected Health Information. We can easily reimburse any incorrect credit card charge, so please consider this option first.
  • How does payment work?
    Payment should be painless. We accept cash, check, and debit and credit card payments through our secure online client portal.
  • What if I need to cancel an appointment?
    Each therapist handles rescheduling appointments differently. Please reach out to your therapist directly in order to cancel your appointment and schedule a new one. Please note that the Neurodiverse Counseling’s policy is that if you reschedule within the same week, there will not be a cancellation fee. If you do need to cancel, we ask that you please do so with 48 hours notice. Otherwise, you may be charged for the full rate of the session, excluding serious medical reasons and other circumstances outside of your control.
  • Do you work with individuals?
    Yes, we work with people from all walks of life, with a particular focus on neurodiversity. To foster better outcomes, we create safe spaces that help clients be themselves through results focused and evidence-based support and tools.
  • Do you offer group therapy?
    No, but we can help you find a professional who does.
  • Do you work with adolescents and families?
    Yes, we provide counseling services for children, adolescents, and adults.
  • Do you work with couples?
    Currently, we offer couples counseling to young couples.
  • Who’s your ideal client?
    The clients we see are typically motivated or have the desire to change but might not know how or where to start. These clients understand that therapy is an investment and are willing to make the commitment through self-reflection and taking intentional steps to create a richer life. If you'd like to know more about a certain issue we have experience with, we invite you to explore our provider profiles.
  • Can you speak with my psychiatrist and other medical providers?
    Yes, we're happy to collaborate with your medical provider(s) to maintain the most effective and consistent treatment.
  • Do you provide documentation for service and emotional support animals?
    As a rule, we generally do not write documentation for ESAs. Feel free to speak with your therapist if you have any questions about this policy.
  • Do you prescribe medication?
    No, but we can help you find a professional who does.
  • What if I am already seeing another therapist for individual or family work?
    It's important that we know about other providers you're currently receiving care from so we can coordinate with them if necessary. Perhaps you're currently seeing a psychiatrist, family therapist, or life coach and would like to use individual therapy to explore new or different issues. Additionally, if your current provider is retiring or will no longer be practicing, we're able to help you transition to a new therapist.
  • Do you do forensic evaluations?
    No, but we can help you find a professional who does.
  • How does it work? What do I have to do in counseling sessions?
    Because each person has different issues and unique goals for counseling, the work will be different depending on the individual. Our therapists tailor their therapeutic approach to your specific needs. In general, you can expect to discuss the current events happening in your life, your personal history relevant to what’s bringing you to counseling, and report progress (or any new insights gained) from the previous counseling session.
  • How long will it take?
    Depending on your specific needs, counseling can be short-term (3-6 sessions), dealing with a specific issue, or longer-term (months or possibly even years), to deal with more difficult patterns or your desire for more personal growth and development. Either way, it is most common to schedule regular weekly counseling sessions initially, and then space them out as you see progress.
  • If I commit to counseling, what can I expect? How can I get the most out of counseling?
    It is important to understand that you receive better results from counseling when you actively participate in the process. The ultimate purpose of counseling is to help you bring what you learn in counseling sessions back into your life. Beyond the work you do in counseling sessions, if you are receptive to “homework” (activities such as monitoring your behavior, practicing new skills and behaviors, readings, and other activities designed to help you learn and grow), our therapists can suggest some things you can do outside of therapy to support your progress. While counseling can help you learn important skills, the work you do outside of your counseling sessions may be most impactful in helping you achieve your goals.
  • What’s the difference between talking to a therapist, my best friend, or a family member?
    Therapists are highly trained to listen and make assessments. They understand how to hold a client’s story and work through emotional pain and life’s struggles at a pace that meets the client’s needs. In a crisis, therapists are trained in how to keep you safe, provide you with direction, and make referrals to programs that you may need. Family and friends may be understandably less objective and more easily swayed by your emotional reactions, making it harder for them to guide you through a difficult time. A skilled mental health professional such as a therapist can help you approach your situation in a new way, teach you new skills, introduce you to different perspectives, listen to you without judgment or expectations, and help you listen to yourself. Another benefit of therapy is that is confidential, meaning that you do not have to worry about people finding out about sensitive information that you may not be ready to share.
  • Is therapy right for me?
    The decision to begin working with a therapist can be difficult. It is normal to feel uncertain and to experience mixed emotions. Working with a therapist can help provide insight, support, and new strategies for all types of life challenges. Therapy can help address many types of issues including depression, anxiety, body-image issues, conflict, grief, stress management, and general life transitions. Therapy is beneficial to anyone who is interested in getting more out of life by taking responsibility, creating greater self-awareness, and working towards change.
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