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Appointment Prices & Billing Information

Session Pricing: $140 – $225 
(fee varies based on clinician seen – call our office for more details)

GroundWork does NOT accept insurance – we are considered an out-of-network provider, which means that we do not bill insurance companies directly, and all services are paid for privately / “out of pocket”. We are happy to provide our clients with detailed appointment receipts, so that they may seek potential reimbursement through their insurance, however, we do not guarantee reimbursement.

Please utilize the reimbursement calculator below to learn more about your plans Out-of-Network Benefits and to calculate potential reimbursement for our services.

Check Your “Out-Of-Network Benefits”

Please be patient while the calculator estimates your benefits - this can take a few minutes.
GroundWork requires payment at time of service; submitting claims to insurance and seeking potential reimbursement is the responsibility of the patient.
GroundWork is a private pay practice and does not accept payment via insurance carriers directly - we do not guarantee reimbursement.

Insurance & Reimbursement

We do not directly bill insurance companies for mental health services, however your insurance may reimburse you for out-of-network services that we provide. Mentaya is a third-party service that helps our clients seek reimbursements from their insurance companies. You can use Mentaya’s benefits calculator to determine whether you may be eligible for out-of-network reimbursements for mental health services. Additionally, you will receive a detailed receipt with all necessary codes for out-of-network processing following each appointment via email, if you’d like to submit these receipts yourself for potential reimbursement.

Payment

Payment is required at the time of service. We accept payment via debit and credit card  (Visa, Mastercard, AMEX, and Discover), Cash (for in-person appointments), and HSA.

What Is “Out of Network”

Many insurance companies require a deductible to be met before they start paying for mental health coverage, so you may be paying out of pocket anyway. GroundWork is considered an out of network provider, which means that we do not bill insurance companies directly. Your services may be eligible for reimbursement through out-of-network benefits, medical spending, or health care savings accounts. Health insurance plans and benefits vary. If you are interested in using your health insurance to see one of our providers, please call your insurance provider to inquire about reimbursement for out-of-network mental health services (see below for questions to ask your insurance company).

Want To Use Out-Of-Network Benefits?

OPTION 1: GroundWork will provide you with an emailed receipt at the end of each session with all codes required for claims processing via your insurance company. You may submit this to your insurance company yourself for possible out-of-network coverage and reimbursement.

OPTION 2: GroundWork has partnered with Mentaya to help streamline the process of submitting claims. For clients who choose to use this service instead of submit receipts themselves, Mentaya charges client’s 5% per claim. Our practice does not collect any portion of this fee, this is simply a third party service we offer to our clients if they would like to outsource the process of submitting their out-of-network receipts.

OR… Some clients choose not to use their insurance at all and keep their mental health services completely private. Pay privately, keep receipts for your records, and do not submit receipts to your insurance.

Cancellation Policy

We reserve your appointment time just for you. If you do not attend your scheduled appointment, and you have not notified us at least 24 hours in advance, you will be responsible for the full cost of the session. This also applies to sessions canceled or rescheduled without 24 hours notice.

Office Hours Our office hours at GroundWork are by appointment only.

 

Additional Resources & Information

OCD Therapy & Insurance Reimbursement Information

Some patients, even those without “out of network” benefits do receive reimbursement for OCD therapy – additional information can be found here We highly suggest reading this article regarding the obligations of your insurance company to pay for effective OCD treatment.  When choosing an OCD clinician, we suggest asking these important questions to insure you are being provided effective OCD treatment.

Why Consider Paying Privately or “Out of Pocket"

In order to have therapy services covered under insurance, a mental health diagnosis must be made. This information then becomes a part of your permanent health care record. This may lead to limitations such as denial for quality life insurance, specific occupations, or health insurance later on. When using insurance:  – Insurance will have access to your records, diagnosis, treatment plan, even including your records and therapy notes – Insurance can limit by the diagnosis; limiting your length of therapy and dictating your therapy – Many insurance companies do not cover couples/relational or family therapy. Learn More About The Benefits of Paying Privately

Questions To Ask Your Insurance Provider Prior To Therapy

If you would like to investigate the possibility of reimbursement for out-of-network coverage, please check your policy carefully and ask your insurance company the following questions:

    • Do I have mental health benefits?
    • What is my deductible and has it been met?
    • How many mental health sessions per calendar year does my insurance plan cover?
    • How much does my plan cover for an out-of-network mental health provider?
    • What is the coverage amount per therapy session?

 

Additional Appointment Information

Session Length All sessions are 50 minutes in length unless other arrangements have been made with your therapist / Couples therapy is scheduled for 75 minutes.

Therapy Frequency At GroundWork, therapy is typically attended once a week, then decreased once skillset is built.

Office Hours Our office hours at GroundWork are by appointment only; evening hours are available with some clinicians but not all.

Schedule With A CBT Therapist 407-378-3000

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GroundWork does not provide crisis services - if this is an emergency, dial 911.

Contact Us & Location
GroundWork Cognitive Behavioral Therapy
341 N Maitland Ave #330
Maitland, FL 32751

 

411 Congress St #3292
Portland, ME 04101

Burlington, VT 05043

Virtual & In-Person Appointments

Virtual / Telehealth appointments available for individuals residing in: Florida, Maine, Vermont, South Carolina & Montana

In-person appointments available in Central Florida. By appointment only.

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