Fees
How fees work
The answers to what nearly everyone asks before a first session.
Insurance we work with
Bower is in network with most PPO plans and out of network with the rest. We do not bill Medicare and we do not take Medicaid; if that is your plan, we will gladly give you the names of practices that do. If a child is in foster care, tell us when you write: the caseworker can tell us how the agency pays for counseling.
Most PPO plans
Out of network with other plans
No Medicare or Medicaid
If you pay yourself
If you pay without insurance, you pay at the end of each session by card, including HSA and FSA cards. Your fee is given to you in writing before you start. A limited number of reduced-fee spots open now and then; ask how to request one. We ask for 24 hours' notice to change an appointment.
Receipts for reimbursement
Each month we give you an itemized receipt (a superbill) with the dates and kinds of session, to send to your plan, which may reimburse part of out-of-network care. It carries a diagnosis code your insurer can see. Your plan decides whether it pays anything; ask it before you start.
An estimate in advance
If you pay without insurance, you have the right to receive a written Good Faith Estimate of what your care will cost before you start. We send one before the first session. If the final bill is $400 or more above the estimate, you can dispute it. The estimate is not a contract.
Checking your benefits
If you use insurance, we check your benefits before the first session and tell you in writing what we found, including any copay or deductible. If you do not use insurance, there is nothing to check.
You will see the number before you start
Every family gets the fee in writing before the first session. Nobody finds out at the front desk.
Fee in writing before the first session
24 hours' notice to change an appointment
HSA and FSA cards accepted
More about paying
What is a superbill, and how do I use it?
It is an itemized monthly receipt with the dates and kinds of session. You send it to your plan, which may reimburse part of out-of-network care. It carries a diagnosis code your insurer can see, and your plan decides whether it pays anything.
How much does it cost, and how do fees work?
Your fee depends on whether you use insurance and on the kind of session. We give you the number in writing before you start, so you never find out at the front desk.
Can I use an HSA or FSA card?
Yes. You can pay at the end of each session with an HSA or FSA card, as you would any other card.
What is your cancellation policy?
We ask for 24 hours' notice to change or cancel a session, by phone or email. Families with a court date, a visit with a caseworker or a sick child: tell us, and we work it out.