Frequently asked questions

Some of our clinicians bill some commercial plans, and which plans depends on the clinician. We do not bill Medicare or Medicaid. Our intake lead checks your plan's mental health benefits with you before your first session.

A superbill is a monthly itemized receipt that you can send to your plan. Your plan may reimburse part of a session if it has out-of-network benefits; it decides. It carries a diagnosis code, which your insurer sees.

If you pay without insurance, you have the right to receive a written estimate of what care will cost before you start. We give you one. If a bill is $400 or more above the estimate, you can dispute it. The estimate is not a contract.

Your clinician gives you the fee in writing before you start. The How fees work page explains insurance, paying yourself, receipts and estimates.

Yes. You can pay for sessions with a health savings or flexible spending card.

Your first visit is about 50 minutes. Your clinician explains how sessions work and what is private, and asks what you hope to get from therapy. You decide what to share.

Visits are about 50 minutes. Your clinician sets the pace with you, and there is no set number of sessions.

Our clinicians are licensed in Oregon, and video sessions are for clients located in Oregon at the time of the visit, in the state where we are licensed.

Call or text 988, the Suicide and Crisis Lifeline, any time. In an emergency, call 911. Our website and voicemail are not monitored around the clock.

What you say is private, and we share records only as the law allows. The limits are a risk of serious harm to you or someone else, and abuse of a child or older adult. Your clinician explains this at the first visit.

No. Our clinicians meet with adults, 18 and over, as individuals or couples.

Please give 24 hours' notice. A session canceled with less notice is charged the session fee.