* Health insurance companies require therapists follow certain treatment protocols that are based on treatment practices that work with only a very small number of research subjects (not clients). Of those requirements are diagnosis (which is then a part of your healthcare record) and specific treatment protocols in a time limited environment.  In the real world, issues are more complex and often need more time and flexibility of treatment approaches.

* Healthcare companies require clinicians to file sometimes extensive paperwork, and work with managed care directors who never see you (the client) but direct the care administered by the therapist which may impact the length of time in treatment and the use of psychiatry or other treatment modalities.

​I am dedicated to spending my time in direct care of clients, consultation with supervisors who I trust and I have relationships with and are experts in our field, and training instead of being involved in claims disputes and paperwork. Therefore, I do not bill insurance directly. I am however happy to provide receipts for you to submit to your insurance company or accountant. Most insurance companies will reimburse you for sessions. Please call your insurance company to confirm.

     90 minute intake                           $180 (couples $190)

     50 - 55 minute session                $130

     Conjoint or Couples sessions     $150

         50 - 55 minute

Cash, check, and major credit cards accepted including HSA and FSA cards with the VISA or MASTERCARD logo. A 5% discount is available for cash payment.

The choice is yours: how to invest in your future self and create the life you want to live. For many, therapy is a life changing experience that opens doors to understanding and experiencing yourself and your world in new and exciting ways. Therapy is also a significant investment of time and resources. It may be helpful to consider the following points when deciding where to invest your time and healthcare dollars.  

* Therapy is often most effective when attended once a week. However, this is not always the case. We can together review your goals, available healthcare dollars, and progress, and flexibly make decisions based on treatment and financial standing for the best schedule.

* Therapy is considered a healthcare expense and may be written off on your taxes. Consult your accountant.​

* New healthcare plans are often very high deductible plans or with high copays. The average therapy expenses for a year often times do not meet the minimum deductible. Check with your plan before making a decision to work with a provider soley on the basis of if they accept insurance or not. 

* Health insurance companies always have access to your healthcare records. Your information may be shared with public records clearinghouses that are accessed by organizations such as life insurance companies.

* Health insurance companies may audit your records at any time and deny payment of claims, even in the past and demand payment from you for sessions they have already paid for. 


       Melissa Butler, MS, LLP       
120 East Liberty, Suite 215     Ann Arbor, MI  48104
3011 West Grand Boulevard, Suite 413         Detroit, MI  48202
​Copyright 2013. Melissa Butler, MS. All Rights Reserved.