Fees & Insurance

Service Fees

Costs per session may very depending on your insurance coverage and benefits. 

For self-pay or individuals who are paying out-of-pocket without insurance, see below for service fees (for both in-person and virtual sessions): 

Therapy Intake: $175

Individual Therapy Session: $150

If I am out-of-network and your have Out of Network Reimbursement (OON) benefits through your health insurance, I am able to provide a Super Bill.

Insurance Accepted

I am in-network and accept the following forms of health insurance:

    • Anthem, Blue Cross / Blue Shield, HealthKeepers

    • Cigna / Evernorth

    • Optum / United Healthcare / Oscar

Medicaid, Medicare, Tricare, and EAPs are not accepted. 

Therapy may be covered in full or in part by your health insurance. Please check your coverage carefully by contacting your insurance directly and asking the following questions:

  • Do I have mental health insurance benefits?

  • What is my deductible and has it been met?

  • How many sessions per year does my health insurance cover? 

  • What is the coverage amount (copay or coinsurance) per therapy session?

Payment

Payment is due at the time of services and all clients are required to maintain an active credit or debit card on file at all times. A Health Saving Account (HSA) debit card may also be used as a form of payment. Cash and checks are not accepted.

Cancellation Policy

When clients cancel within less than 48 hours notice prior to the start of the appointment time, individuals will be charged a late cancellation fee of $100. When clients no-show or miss appointments and do not call or email to cancel ahead of time, individuals are charged a no-show fee of $150. Please understand that your insurance will not reimburse you for any portion of a missed, no-showed, or late cancelled appointment and you are responsible for the fee in full.

 FAQs

  • I only offer standing weekly (rather than bi-weekly or monthly) appointments for all new clients. Obvious exceptions are made, for example, when clients get sick, have work/personal conflicts, etc. I find that meeting weekly, in the beginning of therapy, is the most effective way for the client and therapist to develop a safe, trusting relationship. This needs to come first before individuals can process stressful experiences and begin to see progress.

    I do, however, see already existing clients on a bi-weekly, monthly, or as needed basis once there has been sufficient progress made and individuals are feeling ready to taper down.

  • Usually about 50 minutes, but sometimes 45-60 minutes, depending on your needs and goals as well as my professional discretion during any given appointment.

  • It depends and it’s up to you. It depends on your goals, the issues you would like to address, how ready and open you are to addressing them, and what’s going on outside of therapy. Everyone is different. Therapy can be a beneficial form of support in both the short- and long-term for most individuals.

  • At this time, I am only accepting new clients who are able to do primarily in-person therapy. I do offer virtual therapy, at times, however, when . . .

    either the client or therapist is sick but well enough to still engage in a virtual session;

    irregular work life conflicts arise, and virtual therapy will be more convenient;

    or clients are traveling within the state of Virginia, for work or pleasure, and are in need of mental health support.

  • My office in located in Richmond’s Near West End, a few blocks away from Willow Lawn. Free off-street parking is available and easy to access. There are several GRTC bus stops on the same block as my office building. It’s a 10-15 minute walk from the Willow Lawn GRTC Pulse stop and approximately a 10 minute drive from VCU, UofR, VUU, and J. Sergeant Reynolds Downtown campuses. My office may also be accessible by bike, depending on your starting location.

  • I see clients Monday through Thursday, between the hours of 9 am and 5 pm, with some variation. My last appointment of the day is at 4 pm and I do not offer evening appointments at this time.

  • My practice is dedicated to working with young adults and twentysomethings, approximately ages 18-29 years old. I prefer working with individuals who were assigned female at birth (regardless of gender identity or expression) as well as LGBTQ+ men. I strive to be an affirming, white, straight, cisgender ally in both my professional and person life.

    I enjoy working with folks from a wide variety of socio-economic, professional, and cultural backgrounds.

  • No, I do not. At this time, I only provide individual therapy to young adults and twentysomethings who are approximately ages 18-29 years old.

  • No, not at this time.

    I do, however, specialize in providing personal therapy to up-and-coming twentysomething social workers, social justice activists, psychology majors, and counseling graduates as a way to engage in the 'parallel process.'

    In our therapeutic work together, we can explore your experiences of countertransference, vicarious trauma, compassion fatigue, and burnout. In turn, you will learn to establish healthy boundaries with self and others in relation to the important work you do.

     If this is of interest to you, reach out, and we can explore how you can do really good work for a cause you are passionate about while also taking really good care of yourself and being a whole person with a full life. 

Good Faith Estimate

Effective January 1, 2022, a ruling went into effect called the "No Surprises Act" which requires practitioners to provider a "Good Faith Estimate" to individuals who are uninsured or utilize self-pay. The Good Faith Estimate (referred to throughout this document as “GFE”) works to show the cost of items and services that are reasonably expected for your health care needs for an item or service, a diagnosis, and a reason for mental health services. The estimate is based on information known at the time the estimate was created. The GFE does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur and will be provided a new GFE should this occur. If this happens, federal law allows you to dispute (appeal) the bill if you and your provider have not previously talked about the change and you have not been given an updated GFE. 

Under Section 2799B-6 of the Public Health Service Act (PHSA), health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request, or at the time of scheduling health care items and services to receive a GFE of expected charges. 

Note: The PHSA and GFE do not currently apply to any individuals who are using insurance benefits, including "out of network benefits” (i.e.., submitting superbills to insurance for reimbursement). 

Timeline requirements: Providers are required to provide a GFE of expected charges for a scheduled or requested service, including items or services that are reasonably expected to be provided in conjunction with such scheduled or requested item or service. That estimate must be provided within specified timeframes: 

  • If the service is scheduled at least 3 business days before the appointment date: no later than 1 business day after the date of scheduling;

  • If the service is scheduled at least 10 business days before the appointment date: no later than 3 business days after the date of scheduling; or 

  • If the uninsured or self-pay individual requests a GFE (without scheduling the service), no later than 3 business days after the date of the request. A new GFE must be provided, within the specified timeframes if the individual reschedules the requested item or service. 

Common Services at Hope Porter, LCSW, LLC: 

  • 90791: Initial Psychotherapy intake (not timed)

  • 90837: Ongoing therapy appointments (approx.. 53-60 minutes) 

Common Diagnosis Codes at Hope Porter, LCSW, LLC:

Below are common diagnosis codes at Hope Porter, LCSW, LLC; however, the list is not exhaustive. With that said, diagnosis codes can change based on many factors. Please speak to your provider with any questions or concerns. 

  • Depression (F32.9)

  • Anxiety (F41.1)

  • Posttraumatic Stress Disorder (F43.10)

Hope Porter, LCSW, LLC recognizes every individual’s mental health treatment journey is unique and personalized. How long you need to engage in mental health services and how often you attend sessions will be influenced by many factors, including, but not limited to: 

  • Your schedule and life circumstances

  • Your provider’s availability 

  • Ongoing life challenges

  • The nature of your specific challenges and how you address them

  • Personal finances

You and your provider will continually assess the appropriate frequency of services and will work together to determine when you have met your goals and are ready for discharge and/or a new "Good Faith Estimate" will be issued should your frequency or needs change. 

For questions or more information about your right to a Good Faith Estimate, visit

www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1- 800-985-3059