FAQs

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Billing & Insurance

Do you take insurance?

At this time, we accept Regence/Blue Cross Blue Shield, Optum/United Healthcare, and private pay. We can provide a superbill (receipt) that you may submit to your insurance company for possible out-of-network reimbursement. You may also call your insurance to see if they will approve a single case agreement for our specialized services.

We’re currently in the process of becoming in-network with Aetna, Moda, Cigna, Trillium, and PacificSource, and we plan to accept OHP and Kaiser in the near future.

How much does therapy cost?

Please contact us for current rates and to discuss payment options. We believe in accessible care and can talk with you about your options, including sliding scale spots when available.

About Our Therapy Services

Do you see adults too, or just children?

We provide therapy for all ages including children, teens, and, adults with a strong focus on neurodivergent- and sensory-affirming care.

What types of therapy do you offer?

We offer individual, couples, and family therapy including parent/caregiver support, with a strong focus on Play Therapy, Nature-Based Therapy, and client-focused experiential approaches.

What is Play Therapy?

Play Therapy is a research-backed way for children to express themselves, process experiences, and build coping skills—using the natural language of play. Through toys, art, and creativity, children can work through emotions and challenges in a safe and supportive environment.

What is Nature-Based Therapy?

Nature-Based Therapy is collaborating with Nature as a co-therapist regardless of setting to help in the treatment process. We all have a pre-existing relationship with Nature, and for some clients, including Nature as a part of the therapy process can help to promote things like mindfulness, regulation, perspective, and grounding.

Do parents/caregivers participate in sessions?

Yes! Parents and caregivers are a vital part of the process. Depending on your child’s needs, sessions may include parent consultation, family sessions, or parent coaching to help support growth for your child and within your home.

Scheduling

Do you offer evening or weekend appointments?

Yes! We know families are busy, so we offer evening and weekend sessions, as well as weekday appointments during normal business hours.

How do I get started?

Please go to our Meet the Team page to schedule a free consultation with one of our therapists or scheduling specialists to find the right match for you!

Applying for Single Case Agreements

A single case agreement (SCA) is a contract between an insurance company and an out-of-network healthcare provider to cover a specific patient's medically necessary care that cannot be provided by the insurer's in-network providers. These agreements are temporary and allow the provider to be paid as if they were in-network, often resulting in significantly higher reimbursement and lower out-of-pocket costs for the patient. SCAs are typically used in situations where a patient requires specialized care not available in-network, there is no in-network provider, or all in-network providers are full or inappropriate for the patient's needs.

Insurance companies may approve Single Case Agreements when:

Specialized Care Is Needed: You need a therapist with expertise that isn’t available in-network (for example: play therapy, neurodivergent-affirming care, trauma treatment, or nature-based therapy).
Continuity of Care: You have an established therapeutic relationship, and switching providers would cause emotional or clinical disruption.
Provider Availability Issues: In-network providers are full, not accepting new clients, or do not treat your age group or presenting concern.
Geographic Barriers: There are no qualified in-network providers within a reasonable distance from your home.
Cultural or Linguistic Match: You need a provider who offers culturally responsive or language-specific services not available in-network.
Transition of Care: Your provider recently went out-of-network, or you’re moving, and a temporary SCA supports consistent treatment during the transition.

What to Expect During the Process

Contact Your Insurance Company: Call the number on your insurance card and tell them you’re requesting a Single Case Agreement (or gap exception) for ongoing care with your current therapist.
Provide Background: Explain that you have an established relationship and that it would be a hardship or disrupt care to switch providers.
Documentation Review: The insurer may request supporting materials from both you and your therapist (for example, a letter of medical necessity, a treatment plan, or a provider statement).
Approval and Authorization: If approved, your insurance company will issue a written authorization specifying the covered dates, billing codes, and rates.
Submitting Claims: Once approved, your therapist can bill insurance directly, typically at the in-network rate.

Tip: Ask for a reference number and written confirmation of approval. SCAs are usually time-limited (6–12 months) and may require renewal if treatment continues.

Sample Script / Letter for Clients

Here’s some suggested verbiage you can use when calling or writing your insurance company:

Hello, my name is [Client Name], and I am requesting a Single Case Agreement (SCA) so that I can continue therapy with my provider, [Therapist Name, Credentials], who is currently out of network with my plan.

I have an established therapeutic relationship with [Therapist Name] and it is medically necessary that I continue care with them. It would cause undue hardship to change providers, as [Therapist Name] has specialized training in [list specific areas—e.g., play therapy, neurodiversity-affirming care, trauma treatment, etc.] that are not readily available with in-network providers.

I am requesting that you provide a Single Case Agreement so that services with [Therapist Name] are covered at the in-network benefit level. Please let me know what documentation is required from me or my therapist to process this request.

Thank you for your help in ensuring continuity of care and access to clinically appropriate treatment.

Some Key Phrases You Could Use

“I am requesting a Single Case Agreement (also called a gap exception).”
“I have an established therapeutic relationship with [therapist].”
“This provider has specialized expertise not available in-network.”
“It would cause hardship/disruption to transfer care.” or “It would cause hardship to work with a provider who doesn't have needed specialized training.”
“I am requesting coverage at the in-network benefit rate.”
“Please let me know what documentation is required.”

Billing

about our therapy services

scheduling

applying for single case agreements