Help & FAQs

Cost & Payment Options

1. What are my payment options?

We accept self-pay, Medicare, and most private insurance plans (e.g., Anthem Blue Cross Blue Shield, Medical Mutual of Ohio, Aetna, Cigna, UnitedHealthcare, Humana, etc.). Note: We do not accept Medicaid. We accept cash, check, and credit/debit card payments.

2. If I am self-pay for services, how much will this cost?

Our self-pay fee schedule is as follows:

Intake (1st session) – $150 | 60-minute session – $120 | 45-minute session – $100 | 30-minute session – $85 | Family/Couple session – $130

3. Do I have to pay anything at the time of service?

If you are self-pay, payment is expected in full at the time of service. If you are using insurance and have a copay, it must be paid at the time of service. Please verify your mental and/or behavioral health coverage with your insurance provider to determine if you will pay a copay at the time of service. Since all insurance plans are different, we encourage all clients to verify insurance coverage with their providers prior to their first appointment.

4. How will I be billed for any costs not collected at the time of service?

Arbor Sana offers an online bill payment option through BillFlash. Instructions for using the paperless service will be included with e-statements sent via text and/or email. If you do not desire to opt-in to paperless billing, you will receive paper billing statements through the mail to remit payment. Arbor Sana contracts with AKC Medical Billing Consultants, LLC for billing services. Should you have any billing-related questions, please call (440) 895-0366 and press 8 to be connected with Crystal Maharidge, CMBS of AKC Medical Billing Consultants, LLC.

Additional Information on Therapy

1. When will I be done with therapy?

Therapy is highly individualized as it is based on your unique concerns, so it is difficult to say when you will be ready to discontinue the therapeutic relationship. You will work with your therapist to formulate your goals and objectives for therapy, and jointly determine how you will know when you have met your goals and objectives to your satisfaction. Most clients begin their therapeutic processes by attending once per week or every other week, depending on their level of need. After a few months, clients and therapists typically decrease the frequency of treatment to triweekly, once per month, or longer between appointments, depending on the degree of progress toward their goals and objectives. Clients may maintain this frequency for a long period of time before deciding to end the therapeutic relationship. Short answer: It all depends!

2. Are therapy sessions kept confidential?

Arbor Sana follows the professional, legal, and ethical guidelines pertaining to client privacy and confidentiality set forth by the American Counseling Association (ACA), the National Association of Social Workers (NASW), and the Ohio Counselor, Social Worker, and Marriage and Family Therapist (CSWMFT) Board. Information that you disclose during your therapy sessions is considered protected health information (PHI) and, as such, is not shared with anyone without your written authorization to release information. However, as required by state law, there are three limits to confidentiality.

The limitations of confidentiality are as follows:

– Disclosing an intention to hurt or kill yourself or others (Note: Please feel encouraged to share any thoughts of suicide, self-harm, and/or homicide with your therapist as thoughts alone do not necessitate a breach of confidentiality)

– Disclosing any suspected or observed abuse or neglect of a minor (i.e., children under age 18), an elderly individual, a disabled individual, and/or an animal

– If your therapist is compelled to comply with court orders and/or subpoenas for your records

If you are a minor seeking services or a parent, guardian, or caregiver seeking services for a minor, all aforementioned privacy and confidentiality considerations apply. Therapists will not typically disclose to parents, guardians, and caregivers information shared by minors in therapy unless it pertains to a limit of confidentiality or the therapist and minor client are in agreement about what, how, and when to disclose information that falls outside the bounds of the limits of confidentiality.

Therapists who are provisionally licensed (i.e., an LPC who is not licensed to practice independently in the state of Ohio) will meet with a clinical supervisor periodically to discuss their caseload and ensure they are providing the best care possible to their clients. Please note that supervisees and supervisors are all held to the same professional, ethical, and legal standards. Clinical supervision is conducted with the best interest of the client in mind.

Your therapist will review matters pertaining to privacy and confidentiality during your first session and will be glad to answer any and all questions you may have throughout the process.

3. How do therapists work together with other professionals, like my doctor?

It is important that your care team is connected, often including general/primary care practitioners, psychiatrists, case managers, and/or other allied professionals (e.g., attorneys) working in your service. While completing a release of information (ROI) authorization form, you and your therapist will collaborate to determine what is to be disclosed to and/or obtained from other members of your care team. Typically, therapists will share a general summary of treatment containing when therapy began, frequency of therapy appointments, diagnosis, treatment plan (i.e., your goals and objectives for therapy), and degree of progress toward your goals and objectives.

Mental Health Emergencies and Crises

1. What is the difference between a mental health emergency and a crisis?

A mental health emergency is a life-threatening situation. Intent to attempt suicide or homicide (i.e., you are going to kill yourself or someone else) and an intentional or accidental overdose are two prime examples of mental health emergencies. A mental health crisis has the potential to become a life-threatening situation without some form of professional intervention. Active suicidal or homicidal thoughts accompanied by a plan and easy access to means (e.g., medications, substances of abuse, weapons) but no intention to attempt suicide or homicide is one prime example of a mental health crisis.

2. If I am experiencing a mental health emergency or crisis, do I contact my therapist?

No, at least not at first. This is because your therapist may not be available to you at the time of your emergency or crisis because they are in an appointment with another client or it is after business hours. Additionally, Arbor Sana does not have the infrastructure or resources to support real-time mental health emergencies or crises. As such, the first thing you will want to do is consult the list of mental health emergency and crisis resources below and initiate contact with the resource(s) you deem most appropriate given your present circumstances. The mental health emergency and crisis resources below are available 24 hours a day, 7 days a week. Once you have made it through your mental health emergency or crisis, then you will contact your therapist to schedule an appointment.

In the case that you are experiencing a mental health emergency or crisis, please see a directory of appropriate resources below:

If this is a life-threatening mental health emergency, please call 911 or proceed to the nearest emergency room.

If this is a non-life-threatening mental health crisis, please call, text, or chat 988 for the Suicide and Crisis Lifeline.

In the case of a non-life-threatening mental health crisis, you may also contact one of the following 24/7 options: text HOME to 741741 for the Crisis Text Line | the Crisis Services of the Alcohol, Drug Addiction & Mental Health Services (ADAMHS) Board of Cuyahoga County | the Emergency & Non-Emergency Services of the Mental Health, Addiction and & Recovery Services Board of Lorain County | call, text, or chat The Trevor Project (for LGBTQ+ folks) | call the Trans Lifeline (for trans and gender expansive folks)

We Welcome Questions!

Please feel encouraged to contact us below and we will do our best to respond via our email within (1) business day.