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Insurance, Fees & Payment Options

I accept both self-pay and insurance. My goal is to offer clear payment options so you can choose the path that works best for your needs, your coverage, and your care.

Insurance:

Some of the insurance plans I am in network with include:   BCBS  -  REGENCE  -  AETNA  -  UNITED     

 

To find out whether your plan covers my services, please contact your insurance company directly to verify your benefits. They can help you understand your coverage, copay, deductible, and any requirements your plan may have before beginning therapy.

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Why Some Clients Choose Self-Pay:

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  • Insurance does not cover all types of couple therapy. 

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  • Some clients prefer more privacy around their therapy.  

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  • Self-pay does not require a mental health diagnosis for billing. 

 

  • Session frequency and focus are not shaped by insurance requirements.  

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  • Self-pay may also allow more flexibility with session length, including longer sessions when they are helpful and appropriate.  

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To support out-of-network reimbursement (when available), I can provide a superbill upon request.

 

I have also been careful not to raise my fees so that therapy can stay more accessible to more people in the community.

 

I reserve a limited number of reduced-fee openings for clients who may benefit from this added support.

Fees:

Individual Therapy

 

Initial Session – 75 minutes: $165

 

Regular Session – 55 minutes: $150

 

Extended Session – 75 minutes: $205

 

Add-On Time – 15-minute increments: $41
 

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Couples Therapy

 

Initial Session – 75 minutes: $185

 

Regular Session – 55 minutes: $165

 

Extended Session – 75 minutes: $225

 

Add-On Time – 15-minute increments: $45
 

Adding additional time to a session can be beneficial when deeper processing or a gentler pace is helpful. Extended sessions can be scheduled in advance as standing appointments, with that additional time reserved for you.

 

If, during a standard session, it feels like more time would help us reach a meaningful close, we can discuss it in the moment and decide together whether to add time, provided my schedule allows.
 

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Prepare/Enrich Services:  Pre-Marital | Pre-Commitment | Relationship Enrichment
 

Prepare/Enrich Assessment Fee:

 

$35 per couple  (paid directly on the Prepare/Enrich website)
 

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Session Fees:

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4-Session Package – $600

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A four-session minimum allows enough time to explore your results, deepen understanding, and integrate meaningful changes.
 

Additional Sessions – $155 each

Available up to a maximum of 8 sessions.
 

If, during the Prepare/Enrich process, insight emerges that there’s more to tend to than this format allows (beyond 8 sessions), that can be a gentle sign that ongoing couples therapy may be a natural next step for more support.

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After completing Prepare/Enrich, we can talk about transitioning into couples therapy so you have a steadier space to care for your bond, making room for what hurts and for what you want to keep growing together.
 

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Payment Options:

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I accept:

  • Credit or debit card

  • HSA/FSA card

  • Bitcoin

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Payment is processed at the time of each session.
As a solo practitioner I’m unable to carry balances forward or offer open credit options.
 

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Sliding Scale

I reserve a limited number of reduced-fee openings. If this would help make therapy more accessible right now, please reach out to explore how I can support you. 
 

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Cancellation Policy

Sessions canceled with less than 24 hours’ notice incur a $50 fee.

Vivian Peralta Mesa, therapy services

Ready to Begin?

​If you’re considering therapy and wondering where to start, I’m here to help you take the next step.

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Schedule a free 15-minute telephone consultation.


Let’s explore what support can look like for you.

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