Questions
Questions we hear most
If yours is not here, write to us.
Do you take my insurance?
No. Threshold is out of network with insurance plans, and we do not take Medicare or Medicaid. You pay for each session yourself, and we can give you a receipt to send to your plan. Your plan decides whether it reimburses any of it.
What is a receipt for reimbursement, and how do I use it?
A superbill is an itemized monthly receipt with the dates and kind of each session, which your plan may reimburse in part if it covers out-of-network care. You send it to your plan. It includes a diagnosis code your insurer can see. Whether it pays anything is your plan's decision; ask before you start.
What is a Good Faith Estimate?
If you pay without insurance, you have the right to receive a written estimate of what your care will cost before you start. We give you one before the first session. If the final bill is $400 or more above the estimate, you can dispute it. The estimate is not a contract.
How are fees set, and when will we hear ours?
A couples session is 80 minutes, and the premarital package is four of them. The fee follows the kind of session, and we send it in writing before your first one. You pay at the end of each session. The How fees work page explains the rest.
Can I use an HSA or FSA card?
Yes. We take HSA and FSA cards for payment, and the receipt can go to your plan administrator. Ask your plan which services it covers.
What happens in the first session?
You both come, in person or by video. Leslie explains how she works, what stays confidential and its limits, and the possible risks and benefits of counseling. Then you talk about what you hope for. Nobody is tested, and nobody has to say more than they want to.
How often and how long are sessions?
Each session is 80 minutes. They are usually every one to two weeks, and Leslie sets the pace with you. The package is four sessions, and you can add more if you want them.
Are you licensed where I live?
Leslie is licensed in Pennsylvania. She sees couples in person in Allentown, and by video if you are in Pennsylvania during the session. You can check any license with the state board.
What do I do in a crisis?
This site is not monitored around the clock. If you are in crisis, call or text 988, any time, and press 2 for Spanish or text AYUDA. In an emergency, call 911.
What stays confidential, and what are the limits?
What you say is private, and we share records only as the law allows. The exceptions are a risk of serious harm to you or someone else, abuse of a child or an older adult, and a court order. In couples work Leslie does not keep secrets between the two of you, and she explains this at the first session.
Do you see anyone under 18?
No. Threshold sees adults, 18 and over.
What is your cancellation policy?
Please give 24 hours' notice to change a session. A session missed with less notice may be charged; ask us for the written policy.
Another question?
Write to us and we will answer.