fees & faqs
fees
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Individual Therapy:
$100 per 30 minute session
$150 per 45 minute session
$175 per 60 minute session
$225 per 75 minute session
$275 per 90 minute session
Note: The first session (i.e. the intake session) is billed at a higher rate: $250 per intake session, 75 minutes
Couples + Relationship Therapy (offered in-person only):
$225 per 60 minute session
$275 per 75 minute session
$325 per 90 minute session
$375 per 105 minute session
Note: The first session (i.e. the intake session) is billed at a higher rate: $350 per intake session, 75 minutes
Our rates are currently lower than the average cost of care for out-of-network psychotherapy in our service area, according to the Fair Health Consumer Guide.
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Individual Therapy
We offer a limited number of reduced-fee spots for clients facing the following acute circumstances:
Job loss
Temporary loss of healthcare coverage
Fees
New Clients: Reduced fee sessions are “pay what you can” between $100 to $125 for 45-minute sessions and $150 to $175 for the initial 75-minute consultation.
Existing Clients: Please feel free to bring this up during our session, and we can explore options together.
Time Limited
Reduced rates are available for a maximum of three months to assist clients during acute circumstances and are not intended as a long-term offering.
No Guarantees
Due to the limited number of reduced-fee spots, we cannot guarantee that all requests for a reduced rate will be accommodated.
Couples Therapy
Reduced fees are not available for couples or relationship sessions.
Pro bono
Calamansi Counseling does not provide pro bono 1:1 therapy, our pro bono work is done through our engagement with the Liberation Line.
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Services we provide are eligible for reimbursement with most insurance plans, with some clients reporting anywhere from 50%-100% of reimbursement. We are an out-of-network provider which means we do not accept insurance but we provide superbills which you are able to submit to your insurance to receive partial or full reimbursement of session costs depending on your unique plan.
KEY INFORMATION:
Clients are responsible for paying the full cost of their therapy session on the day of service.
Calamansi Counseling does not bill, preauthorize, or interact with insurance companies.
We will provide you with a “superbill” if requested, within 48 hours after your session which you can submit to your insurance to claim reimbursement.
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Many Maryland & DC insurance plans include out-of-network mental health coverage, which can reimburse a portion of therapy fees after you meet your deductible. We provide a monthly superbill you can submit for reimbursement.
If you are planning on independently pursuing reimbursement with your insurance, here are some questions to consider asking your insurance provider:
Do I have out-of-network benefits for outpatient mental health therapy? If yes,
Do I need preauthorization for out-of-network therapy?
Do I have a deductible to meet? How much of it have I met this year?
After I meet my deductible, what percentage do you reimburse for out-of-network therapy? (Common: 50–80% of “allowed amount”)
What is the process for submitting a reimbursement claim once I receive a superbill from my therapist?
How long does reimbursement usually take? Can I set up direct deposit or are reimbursements issued only through mail?
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All clients are required to have a credit or debit card on file (HSA & FSA accepted) which is stored in your HIPAA-compliant client portal and will automatically be charged on the day of your session and/or kept on file in the event of any late cancellations. Full payment is due on the day of service.
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Visit our support section where you will find resources on financial assistance for therapy.
Calamansi Counseling also provides avenues for community care to make our services more accessible, beyond the 1:1 therapy room. Please visit our events page for updates on community gatherings, workshops, support groups, and more.
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MARYLAND PARITY LAW: Maryland has mental health parity and network adequacy laws. This means that if your plan offers out-of-network medical coverage, it generally must offer comparable out-of-network mental health coverage. In some cases, if you cannot find an available in-network therapist within a reasonable time or who meets your needs (e.g. “cultural fit”), you may be able to request authorization with your insurance to see an out-of-network provider at in-network rates.
You can check the specific procedure for your plan here
faqs
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Calamansi Counseling is based in Maryland, US and we are licensed to see folks in both Maryland and Washington DC.
We also see clients who live in Virginia, but may work or play in Maryland or DC where they can have their sessions via telehealth. If you live in VA and are interested in working together, feel free to reach out!
We offer international therapy for folks outside the US on a case by case basis. Reach out and we’ll take it from there!
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We offer couples + relationship therapy to folks in monogamous or non-monogamous relationships and can support in exploration of issues related to communication, consent, trust, intimacy and sexuality.
Please note, couples + relationship therapy is only available in-person.
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More Than 24 Hours: Any cancellations made more than 24 hours in advance of your appointment will not incur a cancellation fee.
Less Than 24 Hours: Any cancellations made less than 24 hours in advance of our appointment will be charged a cancellation fee to the card on file(i.e. the full session fee). Insurance does not reimburse for cancelled sessions and a superbill will not be provided. At your therapist's discretion, potential exceptions may include: (1) Use of the Grace Policy (2) A reschedule in the same week.
Grace Policy: For cancellations made less than 24 hours in advance:
Weekly clients may cancel up to 3 times per calendar year due to emergency, illness, or other unforeseen circumstances without charge.
Biweekly and monthly clients may cancel up to 2 times per calendar year due to emergency, illness, or other unforeseen circumstances without charge.
As-needed clients (i.e. clients that do not schedule at a regular cadence/who have more than 1 month in between appointments) may cancel up to 1 time per calendar year due to emergency, illness, or other unforeseen circumstances without charge.
Short Term/Brief Therapy Clients (e.g. a fixed/agreed upon amount of sessions): Grace policy does not apply. Client will be responsible for the full session cost for any cancellations made with less than 24 hours notice.
Cancellations for any circumstance beyond the grace policy, will incur the full session charge.
No Show: Not showing up to a session or if you are more than 15 minutes late to your appointment without communication, this is considered a “no-show.”If you "no-show" (fail to attend without notice), you will be charged 100% of your scheduled session rate.
NOTE: The grace policy does not apply to no-shows.
Reschedule/Session Credit: If you cancel a session with less than 24 hours notice but request to reschedule within the same calendar week (a calendar week at Calamansi Counseling is Tuesday-Saturday), we will do our very best to accommodate a rescheduled session based on availability, but you will be charged the full session fee on the day of our originally scheduled appointment and this may be applied as a session credit toward our rescheduled appointment.
No Reschedule Guarantee: If we are unable to find a mutual time to reschedule within that same week, the payment will be treated as a late cancellation fee and will not be credited toward a future session.
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You may be ready to begin therapy at Calamansi Counseling if the following is in alignment for you:
I currently have the time, motivation, and the financial means to commit to weekly or biweekly therapy
I am invested in deepening my capacity for insight and emotional vulnerability through talk therapy
I am financially resourced enough at this time to pay for session costs
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Calamansi, a Tagalog word, is a citrus hybrid fruit native to the Philippines and other parts of Southeast Asia. As a hybrid, it’s part kumquat, part mandarin orange, and a total chameleon. Calamansi is a staple in Filipino dishes, and for many, a symbolic of a connection to one’s heritage, cultural identity, and a warm reminder of home. Being that calamansi is a hybrid fruit, it seemed so very fitting for the name of our practice which is a space for cultural hybrids.
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Due to licensing laws, telehealth services are currently available to clients physically in the areas of Maryland or DC during their session. And we offer international telehealth therapy on a case-by-case basis. You will receive an automated HIPAA-compliant link to join your telehealth appointment 30-minutes before your session begins, as well as appointment reminders prior to your scheduled appointment time. Sessions will not be able to proceed if you are driving.
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Because therapy is a deeply relational process, we recommend most clients begin with a weekly frequency, as this is a key piece to building the therapeutic relationship. For some, therapy can last months and for others, years. During our time together we will do a routine “pulse check” and collaboratively map out when the time feels right to decrease the frequency of our sessions.
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What you share in therapy is held in sacred confidence. In our work together we will collaborate and explore your community supports so we know how best to support you should any of the following situations arise:
If your are in imminent danger to yourself or another person
The abuse or neglect of a child or vulnerable adult
You as the client provide written consent for any of your information to be released
A subpoena by a court, signed by a judge, to disclose information
Certain insurance or billing disclosures