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Kaela's Blog

Why I Do Not Accept Insurance at My Office


As a mental health therapist in private practice, I have made the decision not to accept insurance. There are several reasons why I have made this choice.


Firstly, accepting insurance requires therapists to provide a clinical diagnosis to the client, which then becomes part of their permanent medical record. While diagnoses are necessary for insurance billing purposes, some clients may not want a mental health diagnosis on their record due to concerns about confidentiality, stigma, or discrimination.


Secondly, insurance companies often limit the number of sessions that they will cover, which can be inadequate for clients who require longer-term therapy or who need more frequent sessions to manage their mental health concerns.


Thirdly, insurance companies often require extensive paperwork and authorization before they will approve payment for therapy services, which can be time-consuming and frustrating for both therapists and clients.


Finally, by not accepting insurance, I am able to set my own rates and have greater flexibility in terms of the services I offer. This allows me to provide a more personalized and individualized approach to therapy that is tailored to the unique needs of each client.


While not accepting insurance may limit the accessibility of my services for some clients, I am committed to providing an affordable service to my clients.


By prioritizing the needs of my clients and creating a welcoming and supportive environment, I believe that I can provide the highest quality mental health therapy services, without the restrictions imposed by insurance companies.


If you're feeling stuck, overwhelmed, or struggling with mental health issues, know that you don't have to go through it alone. As an experienced and compassionate therapist, I'm here to support you on your journey towards healing and growth. Contact me today, at 614-647-HELP, to schedule a session and take the first step towards improving your mental health and wellbeing.


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The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. The purpose of this website is to promote broad consumer understanding and knowledge of various health topics surrounding clinical counseling and therapy. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.

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No Surprises Act & Good Faith Estimate

You may obtain a Good Faith Estimate of our charges upon request prior to scheduling with your therapist at Kaela Rae Vance LPCC-S, LLC. The No Surprises Act is a federal law which provides you with the right to a good faith estimate of the cost of services at our practice.  However, Ohio licensing board rules require us to provide you with the actual cost of our charges in a written format to which you must agree prior to our providing services. Please consider this practice policies document our required written notification, which has been made available to you prior to you being seen for services and prior to any billing. In most cases, it is impossible to estimate how many sessions you will need, and that will not be determined until your concerns are evaluated and will also vary based on the progress that you make, which depends in part on your efforts with the process. You will be free to discontinue services at any time or the services may otherwise be terminated in accordance with our practice policies defined herein. Although the No Surprises Act says that you may initiate a dispute process if the actual charges are substantially in excess of the Good Faith Estimated charges (i.e. if you are charged $400 more than the estimated cost for a session or for the total estimate provided), that is unlikely to happen and would be a violation of Ohio state licensing board rules, since you will be agreeing up front to actual charges per session prior to being seen. Dispute information is available upon request, however. Any changes to our fees will require a change in this practice policy, which you must agree to prior to having them go into effect, otherwise the existing fee structure will remain in effect. 

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