Payment is due at the beginning of each session. A 48 hours notice if required for cancelled appointments. If you must miss a session, please let us know as soon as possible. Without 48 advance notice, you will be charged for the full amount of the session.

Fees:
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55-minute sessions:

Alluvial Counseling’s Group Practice rate is $160 per 55-minute session.

Payment is due at the time of service. When you pay at the time of service, many of our clinicians offer a day-of-service discount, meaning that your rate could be less.

For individuals: $130-$160. See Provider Sections to learn what an individual clinician's service will cost..

For couples or families: $160 flat fee.

*We have a number of pay-what-you-can time slots allocated for clients with limited incomes or who are experiencing financial hardship. Please scroll down for more information about these appointments and reach out for availability.

Alluvial Counseling is committed to equitable access. We are also committed to economic justice. We back this up by investing in justice-centric movements. What this means is that a portion of your investment in services will Alluvial Counseling will be re-invested in radical, leftist, justice based organizations, and BIQTPOC individuals committed to their freedom, health, wellness and vitality.

Alluvial reserves sliding scale and pay what you can appointments. For those interested in those appointments, please reference “The Green Bottle” below:

If you have a *Full Bottle* - you’ll pay 100% the cost of your session. If you have a *Half-Way Full Bottle* - you’ll pay between 50% and 75% of the cost of your session. If you have a *Quarter Full Bottle* - you’ll pay less than half the cost of your session.

Insurance:
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Some clinicians accept insurance. All of our providers are working toward accepting insurance.

We are currently paneled with Premera, Kaiser HMO and PPO plans, and Lifewise plans. Please see each individual clinician's profile to verify what insurance they accept. We do not currently accept insurance for couples or family therapy.

If you’d like to use insurance to cover your sessions, and have an insurance not listed above, we would be considered an “out-of-network provider.” Your sessions may still be covered in full or in part by your health insurance or employee benefit plan, but we cannot guarantee coverage. In these situations, you will be responsible for the full payment at the time of your session, and your insurance company may reimburse you for the fee. It is your responsibility to discuss this with your insurance provider. We gladly provide a super-bill to use in these situations.

Ask your insurance company the following questions:

Do I have mental health benefits?

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

What is the rate at which out-of-network services are covered?

Forms:
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You will be provided with a link to electronically complete your paperwork once you are scheduled for your first full session.