FAQs2020-01-18T13:51:07-05:00

FAQs About Starting, Investment, & Policies

Do you accept insurance?2020-01-19T14:24:21-05:00

I am a provider with selected insurance plans. However, there are some important things to know before deciding to use insurance.

1) All insurance requires “medical necessity” for any claim to be considered as an eligible service. That means there must be a legitimate diagnosis for a medical/mental condition. Most insurance plans do not cover relationship or marriage counseling. However, when there is a medical diagnosis and the primary support system effects the treatment for that condition, insurance may cover limited sessions that include your spouse or partner. If you would like us to verify your plan benefits before therapy begins, we will need your insurance information and date of birth.

2) Any unmet deductible must be met before your plan will pay any of your claim.

3) If you have a copay, this is the amount you are personally responsible for after meeting requirements for your specific plan.

4) There is one more thing to consider about insurance. Recently with the changes in healthcare, some insurance plans are targeting therapists who are billing for 60 minute sessions. Reports are coming in about some companies auditing records for sessions billed using the code for 60 minutes. Your confidential information cannot be protected if that happens. Some companies are insisting that therapists revert to providing 45 minute sessions. I provide a minimum of 60 minutes each time I meet with you. Something to think about…

As my specialty in people’s relationships with others and the self has evolved, I have realized that accepting mostly insurance no longer makes sense for the work I do. Ultimately, my decision to limit the dependence on insurance comes down to acting with integrity and “practicing what I preach” to clients. I have chosen to remain as a BCBS, United Healthcare and Tricare provider in order to serve those who have distress due to pelvic pain, cancer or other illness.

I have insurance but not with the select plans. What if I don’t know if my insurance plan has out-of-network coverage?2020-01-19T14:29:23-05:00

Some insurance plans allow the insured to see an out-of-network provider. You may check with your insurance company to see if your plan allows this benefit. If so, you would pay me for the service. I then provide a superbill with all the information needed for you to submit the claim for possible reimbursement.

To find out if your plan allows members to see an out-of network provider, you can call the customer service phone number on the back of your insurance card so you can ask questions about your coverage and make an informed decision before getting started with counseling.

Here are some helpful questions to ask the representative:

A. Do I have out-of-network mental health benefits?

B. What is my out-of-network deductible? Does that include medical? Have I met it?

C. Are out-of-network services by a licensed Marriage and Family Therapist covered?

D. What is my co-insurance for out-of-network care?

E. Is any pre-approval required under any circumstances before obtaining out-of-network mental health services to be reimbursed?

F. Do you cover procedural codes 90834 and/or 90837?

G. What is the maximum allowed amount for procedural codes 90834 and/or 90837? *

***FYI Sometimes the representative will say they can’t tell you. This is illegal. You have a right to this information and they must tell you. If they still won’t tell you, then ask them to begin recording the call and request to speak with a supervisor.***

How do I get started?2020-01-18T10:37:10-05:00

I offer an initial 15 minute phone consultation to give you an opportunity to ask questions about getting the help you want. It also helps me get a sense of what you’re looking for and the kind of changes you want to make. If we’re a good fit, then we can schedule your first appointment.

Please create your personal account at the secure client portal here:

https://marsharand.secure-client-area.com/portal/

Your information is secure and fully encrypted; the portal is fully HIPPA-compliant.

The first time you log in, you will be guided through completing the online documents necessary for receiving services. You will receive a Welcome email with some additional information and appointment reminders before each scheduled session.

What happens in the first session?2018-01-06T01:43:28-05:00

During the first minutes of this meeting, I like to hear a little about who you are – interests, relationship/family background, work, etc. We’ll then move deeper into your story and your goals. You’ll have a chance to ask questions about my approach, background, etc.

As we’re getting to know each other, we’re both getting a clearer sense of whether I’m the professional you can trust to help you meet your goals.

How often will we meet?2020-01-18T10:35:15-05:00

For counseling or therapy, we always meet weekly in the beginning (first month or so) in the comfort of my office or online. Then we’ll decide together on the frequency that best helps you achieve your goals for therapy.

For coaching packages, we will discuss frequency and decide on how to customize your plan to best provide the support and growth you desire.

Click here to set up a free consult during which I’ll be able to give you an estimate based on your needs.

How long will counseling take?2018-01-06T01:43:42-05:00

There aren’t any hard and fast rules when it comes to this. It entirely depends on what brought you to therapy, your goals, and your effort to practice what you’re working on in your daily life. 

Each person takes a different path.  Once you reach your goals, together we’ll decide whether to start the process of saying goodbye or focus on new goals.  

I promise to support you as long as you need, but no more than necessary.  In some cases, clients prefer to check-in with me as needed or for monthly maintenance sessions after our initial work together ends.

I’ve been to therapy before, but it didn’t work.  What makes you different from other therapists I’ve been to?2018-01-06T20:20:58-05:00

I’m glad you asked.  I believe that the intangible thing that heals in therapy is a good fit between the client and the therapist. It’s that “connection” that only happens with certain people.  As a person, I’m equal parts sensitive, practical, down-to-earth, and accessible.  

I speak honestly with a tactful way so you can hear the message and get the insight you need. Depending on what brings you to counseling, I can be collaborative and help you arrive at your own conclusions or I can be prescriptive – just let me know if you want a solution to your problems.  

As a seasoned licensed therapist, my approach is one that encourages deep lasting transformation based on your desired goals. I am uniquely qualified and skilled to help you address relationship and sexual concerns. After years of specialized training in sexuality, I earned certification as an AASECT sex therapist and and am in the process of becoming a certified supervisor. (You can read more my journey and training here.)

For most of us, our relationships and sexual expression is typically a deeply personal and private area of our lives. I provide a safe space and safe relationship in which you can explore, heal and grow with confidence that your privacy and confidentiality is secure and that you are respected as a person.

I want the discretion of relationship or sex therapy without using insurance? What are your rates?2020-01-18T11:02:20-05:00

Sessions are sixty minutes unless an extended session is requested. Current rates may be found here.

Full payment is due at the time of service. I accept cash, check, debit, VISA and MasterCard, and PayPal. Cash or check is paid to me in session or at the reception desk. Credit or debit payments are made through your secure portal account.

Keep in mind that the cost of psychotherapy varies depending on a provider’s level of education, licensure status, additional certifications, area(s) of expertise and geographic location. I have 20+ years of experience combined with many years of specialized training and certification beyond graduate school. Most importantly, I help you get the results you want.

Still have a question I didn’t answer?
Click here if you’d like to contact me about how I can help you experience deep intimacy and create your best relationship.

Ready to get started?
Click here to create your secure account and schedule an appointment.