• We’ll start with a free 15-minute consultation to discuss what you’re looking for and how I might be able to help.

• If we decide we’d like to work together, you’ll receive a link to complete the intake forms through a secure platform called Simple Practice.

• After that, we’ll schedule a new client intake appointment, which is a time for us to discuss your concern(s), and biopsychosocial history.

• Payment is accepted via health savings account, credit card, cash, or check.

• A limited number of slots are available on a sliding scale based on financial need.

I am considered an in-network provider with Blue Cross Blue Shield, United Health, ASR, Ulliance EAP, and Spring Health.

I am awaiting credentialing with Priority Health, Aetna, and Humana.

I am considered an out-of-network provider by other insurance companies, which means that I don’t bill them directly, although I can provide what is known as a “Superbill” that you can submit to your insurance company for possible reimbursement.

Payments can be made via Health Savings Account (HSA), credit card, cash, or check. All clients need to have a valid credit or debit card on file.

The fee for a new client assessment is $185 and the fee for a 55-minute therapy session is $150 with a discount available for paying privately. I also offer sliding fee scale available for those experiencing financial hardship.

Down to Earth Well-Being LLC aims to model economic viability and integrity. My intention is that sessions are as financially sustainable and as widely inclusive as possible, while still supporting a living wage.

I consider the lack of access to health and wellness due to systemic, capitalist inequality to be unethical. Therefore, I aim to challenge this system and ‘be the change’ by offering an alternative that is sustainable and regenerative. Essentially, this means that no one will be turned away due to a lack of access to financial resources.

Revenue created from those paying in the more resourced tiers will allow for greater accessibility and inclusivity for the differently resourced in our communities.

Please read the following categories and choose which best reflects your ability to invest in yourself and the broader community. Prices are per 50-minute session.

$125 per session. Consider paying at this level if one or more of the following apply: you have abundantly more than enough to meet your basic needs, own a newer car and/or a home or rent a higher-end property, own multiple properties, have reliable work that does not depend on the economy or do not need to work to meet your needs, can afford to travel every year, have expendable income, have adult children who you regularly support financially

$100 per session. Please pay at this level if one or more of the following apply: you have stable employment that pays above the minimum living wage, are able to live beyond meeting your basic needs, can travel every couple/few years without burden, have grown children who you sometimes support financially in some ways, are able to regularly chose “extra” pleasures and self-care options like dining out, massage, yoga classes, etc.

$75 per session. Please pay at this level if you have limited expendable income, unstable or seasonal employment but are still able to meet basic needs, and have little or no access to savings.

Invest-What-You-Can: Consider this option only if you struggle to meet your basic needs and paying would be a significant hardship. Please let me know the amount you are able to invest.

This language was adapted from the websites of Lori Solis and Twig Wheeler.

Under the “No Surprises Act” effective 1/1/2022:

• You have the right to receive a “Good Faith Estimate” explaining how much your medical and health care will cost.

• Health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including speech therapy services.

•You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.

• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

• Make sure to save a copy or picture of your Good Faith Estimate.

New Surprise Billing Requirements and Prohibitions

• No balance billing for out-of-network emergency services

• No balance billing for non-emergency services by out-of-network providers during patient visits to certain in-network healthcare facilities, unless notice and consent requirements are met for certain items and services.

• Providers and healthcare facilities must publicly disclose patient protections against balance billing

• No balance billing for covered air ambulance services by out-of-network air ambulance providers

• In instances where balance billing is prohibited, cost sharing for insured patients is limited to in-network levels or amounts

• Providers must give a good faith estimate of expected charges to uninsured and self-pay patients at least 3 business days before a scheduled service, or upon request

• Plans and issuers and providers and facilities must ensure continuity of care when a provider’s network status changes in certain circumstances

• Plans and issuers and providers and facilities must implement certain measures to improve the accuracy of provider directory information

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises, call (720) 845-6600.