F A Q
Below are some answers to
commonly asked questions about therapy
If you have additional questions, please contact us!
Frequently Asked Questions
All services are offered online through a HIPAA-secure telehealth platform.
We do not offer in-person services at this time.
If you have out of network benefits/coverage, then you may be eligible to receive direct reimbursement payments from your insurance provider after paying for services upfront.
Clients are responsible for payment of the session fee at the time of services. We do not bill insurance directly (at the time of services) and are not "in-network providers" with any insurance companies. HFT therapists are out-of-network providers.
HFT offers client insurance reimbursement support through Reimbursify. Learn more about Reimbursify here
Using Reimbursify, potential clients can lookup insurance benefits/coverage. Existing HFT clients with out-of-network benefits can quickly and easily file claims for reimbursement (one at a time, or several together) and receive ongoing follow-up support from Reimbursify's experienced team.
It is the client's responsibility to confirm out-of-network benefits with their insurance provider and understand their specific coverage.
Learn more about using your insurance to pay for therapy here, where we go over key insurance concepts and terms. We also share questions to ask your insurance provider to better understand your coverage.
If you have additional questions, we are happy to discuss insurance reimbursement further with you, help out regarding understanding coverage/benefits, and provide additional information.
Individual Therapy:
$150 for 55 minute session
$205 for 75 minute session
$245 for 90 minute session
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Couples / Relational Therapy:
$170 for 55 minute session
$232 for 75 minute session
$278 for 90 minute session
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Family / Relational Therapy:
$170 for 55 minute session
$232 for 75 minute session
$278 for 90 minute session
Please check out our "Paying for Therapy" page to explore available options for paying for therapy.
If cost is a barrier, please contact us and we'll explore options with you.
You will need:
A quiet, private space where you won't be interrupted.
A reliable internet connection
A computer with a webcam or a smartphone or a tablet
Access to a web browser (we'll send you a link) - or -
Access to an App Store, where you can download the Simple Practice app and/or Spruce Health app (again, we'll send you a link)
Detailed information will be provided prior to our consultation and/or our first session
Check out the "About Teletherapy" page on our website for more information:
About teletherapy,
What to expect
Who may or may not be a fit for teletherapy services
To schedule a free consultation or a therapy session, feel free to contact us by phone, email, text, or any of the forms on the website.
You can also schedule online here:
*Please note, if you have already been in contact with us (or your email is in our records) the online booking system may deem you an "existing client," even if you are not yet a client of HFT. Our apologies for any confusion this may cause.
Office hours are: 10am - 6pm, Monday - Friday
You can expect to hear back from us within 24 hours on business days and the following business day over the weekend and holidays.
Available session times vary depending on therapist schedule.
Evening and weekend times may be options depending on availability.
In terms of what to expect regarding therapy session frequency or scheduling regularity, this will depend on your specific situation and preference. Some clients prefer a regular day and time week to week. While others prefer to schedule more flexibly. Either can work depending on availability.
We currently offer services in Washington & Oregon.
If you live in a different state, you are welcome to request a local referral.
We are happy to help if we can.
We do not offer services to individuals 17 years old or younger.
If you would like referrals for individual or family therapy for children and/or teens, please let us know. We are happy to help if we can.
Payment for sessions is due at the time of services.
Payment can be made by credit card, debit card, Care Credit, or HSA/FSA.
HFT clients are required to keep a credit or debit card on file per our cancellation/rescheduling policy.
Learn more about applying for and using Care Credit to cover the cost of therapy here.
Learn more about using Reimbursify here.
Learn more about using insurance here.
We are not in network providers with any of the Washington or Oregon Medicare insurance plans, and therefore are not able to bill them for services.
Please note, Medicare plans do not typically reimburse clients for out-of-network providers and services.
We ask all clients with Medicare plans receiving services at HFT to sign our "Medicare Private Pay Agreement" acknowledging and agreeing to client full financial responsibility for services.
If you are hoping to use a Medicare insurance plan to cover the cost of therapy services, please feel free to request a referral to an in-network provider. We will be happy to help if we can.
We are not in network providers with any of the Washington or Oregon Medicaid insurance plans, and therefore are not able to bill them for services.
Please note, Medicaid plans do not typically reimburse clients for out-of-network providers and services.
We ask all clients with Medicaid plans receiving services at HFT to sign our "Medicaid Private Pay Agreement" acknowledging and agreeing to client full financial responsibility for services.
If you are hoping to use a Medicaid insurance plan to cover the cost of therapy services, please feel free to request a referral to an in-network provider. We will be happy to help if we can.
The first step is to set up a free consultation (video or phone) to discuss your needs and address any questions.
If meeting by video, you will receive instructions on how to access our video session and a video link for the meeting.
After an initial conversation, if we decide that working together seems like a potential fit, we will schedule our first session.
After scheduling, you will receive a link to your client portal where you can complete initial paperwork before our meeting.
You are welcome to reach out at any point for clarification or with questions.
Sessions may be cancelled or rescheduled up to 24 hours before a scheduled meeting time.
Sessions NOT cancelled or rescheduled at least 24 hours before a scheduled meeting time will incur the full session fee.
Clients may communicate changes to scheduled sessions via phone, text, email or through the online booking system.
The minimum-24-hour-notice policy is not limited to business days/hours. All rescheduling/cancellation requests are honored at the time they were initially sent. Requests sent outside of business hours (evenings, weekends, holidays) are acceptable.
The duration of therapy services typically depends on the client and their reasons for coming to therapy.
Some clients find benefit after only a few sessions, while others may continue for several weeks, months or years.
This is completely up to each client and would be something we would discuss together and continue checking in about.
Clients are always free to end therapy at any point.
Effective therapy always entails a good working relationship between client and therapist. This is sometimes referred to as therapeutic fit.
A good therapeutic relationship is characterized as having: effective communication, trust, comfort, rapport, empathy, shared goals, and aligned values. Additionally, it is one where the client aligns with the therapist's approach and style.
Fit is incredibly important and if at any point you find that it isn't feeling right, your therapist will make appropriate referrals to help you find a another therapist.
Clients are always free to stop therapy at any time for any reason.
Pausing therapy can also be an option when a client needs or wants to take some time off and then start up regular sessions again at a future date.
Ending or pausing therapy is a very simple conversation with your therapist and can be discussed at anytime.
Referrals for other therapists or providers can be provided.
A Good Faith Estimate (GFE) is a reasonable estimate of the total cost of services.
As part of the federal "No Surprises Act" (2022), therapists are required to provide clients who are not using health insurance with a "Good Faith Estimate."
While it is difficult to accurately determine the exact length and number of sessions at the beginning of therapy, the "Good Faith Estimate" typically includes the cost of a therapy session multiplied by an estimated number of weeks in a year.
A "Good Faith Estimate" is not a bill or a financial obligation.
It is intended to inform clients - not using insurance - what to expect financially at the outset of therapy.
For more information visit: https://www.cms.gov/medical-bill-rights/help/guides/good-faith-estimate
For more information about Good Faith Estimates (GFE) at Healing Foundations Therapy, learn more here.
As a client, your privacy is protected in several ways.
Therapist-client privilege is a legal right that protects a client/patient's confidential information from being disclosed by their therapist.
Your personal data is protected by the Health Insurance Portability and Accountability Act (HIPAA), which, despite the name, applies to both clients using insurance and not using insurance to pay for therapy. (Learn more about HIPAA here).
There are extenuating circumstances to this confidentiality that we will discuss in detail at the start of therapy and as needed.
If you are billing insurance, your insurance provider may request information regarding your treatment.
HFT does not use artificial intelligence (AI) dictation or note taking software.
There are a few situations when the privileges of client confidentiality are limited under State and Federal law. These situations and exceptions are:
If you pose a danger to yourself or others
In the case of abuse or neglect of a child, an elder, or a vulnerable adult
A court order or subpoena of records
Your claim/defense in a legal situation related to our services
The limits to client-therapist confidentiality will be reviewed with clients before the start of therapy.