How fees work

Threshold is out of network with insurance plans, so you pay for each session yourself. We do not take Medicare or Medicaid. If you would rather see someone who bills your plan, we will gladly give you colleagues' names.

You pay at the end of each session by card, including HSA and FSA cards, and nothing is paid in advance. The fee is set by the kind of session: a couples session of 80 minutes, or the premarital package of four 80-minute sessions, one topic each. We give you the fee in writing before the first session. A limited number of reduced-fee spots are open; ask how to request one. Please give 24 hours' notice to change a session.

Each month we give you an itemized receipt (a superbill) with the dates and kind of session, to send to your plan, which may reimburse part of out-of-network care. It carries a diagnosis code your insurer can see. Your plan decides whether it pays anything; ask it before you start.

If you pay without insurance, you have the right to receive a written good faith estimate of what your care will cost before you start. We send 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.

We do not check benefits, because we do not bill your plan. If you want to know whether your plan reimburses, call it before the first session and ask about out-of-network mental health services.

The first session is 80 minutes, with both of you in the room or on the call. Leslie explains how she works and what stays confidential, and the two of you start on the first topic. It is billed at the usual session fee.