Forms and FAQs

Forms

3 Steps to your future Self

1-Complete our form or call, text or email us today. 313-451-3315 contact@embracechangetherapy.com

2- A therapist will reach out to you about scheduling and the paperwork that needs to be completed including verifying any insurance benefits.

3- Meet with your therapist either in person or online and start working together on your journey of change.

Insurance and Cash rates

Insurance

To check to see if we accept your insurance and to find out the out-of-pocket costs, please complete the benefit verification form

We accept the following insurances:

Blue Cross Blue Shield

Blue Care Network*

United Healthcare

Ambetter

*Not all therapists are able to accept this insurance

Cash Rates

Cash rates are based on the therapist’s level of education and experience. To see if you are eligible for a lower rate, please complete the sliding scale form

The rates are as follows:

Fully Licensed Therapists – $180

Limited Licensed Therapists – $150

Graduate Interns – $50

Sliding scale rates are based on yearly income

Payment Options

Payment plan

Therapy can be expensive, including sometimes when you use your insurance. We offer clients to pay their balance in weekly installments. A valid credit card must be on file. 

3rd party payments

If someone else wants to pay for your sessions, or if you cannot make a payment through the portal, please complete the form below.

Make Changes

If you need to make changes to you file, please complete this form. This includes updating address, emergency contact, etc. If there is an update to your insurance, complete the benefit verification form.

No Insurance

Don’t have insurance or want to not use your current insurance to cover your sessions. Please complete the form below.

Common Questions

Complete our new client form or call, text, or email. 313-451-3315. A therapist will reach out to you about scheduling and the paperwork that needs to be completed prior to your first session.

We accept Blue Cross Blue Shield, United Healthcare, and Ambetter. Some therapists are able to accept some other insurances including Blue Care Network. Please complete the benefit verification form for us to get you more specific information about your insurance, including if we can accept it and out-of-pocket costs. 

If you are paying out of pocket without insurance, the cost for a 50 minute sessions depends on the therapist license and experience. The most common rates are $180, $150, and $50. If you are looking for a lower rate, complete the sliding scale form.

If you are using your insurance, each plan is different, complete the benefit verification form and we will email you more information about the estimated out-of-pocket costs for each session. 

A client can cancel a session with no penalty if done more than 24 hours prior to the session. Embrace Change Therapy reserves the right to charge a $50 fee for all missed appointments or appointments that are not cancelled with a 24 hour notice. “No show” and late cancellation fees are billed to the client and are not covered by insurance. This fee also must be paid prior to your next appointment. Multiple “no shows’ in any 12 month period may result in termination from our practice. 

For insurance clients, we do not charge the deductible, copay, or coinsurance until we get information back from the insurance company for the specific date seen. That usually takes around 1 to 3 weeks and may include more than one session in each invoice. Invoices are sent to the client automatically when we are notified from the insurance company the current cost for past sessions. We require clients to have a credit card on file for any charges. Weekly on Thursdays we run the credit card on file for any balance. If you would like to have a lower amount taken out other than the full balance, complete the payment plan form prior to Wednesday evening. Payments can also be made at anytime through the client portal or the 3rd party payment form. If there is a balance more than $300, the client cannot schedule the next session with their therapist until they pay down the balance below $300 or they complete the payment plan form

We accept most BCBS, United Healthcare, Ambetter, and Blue Care Network insurance plans. Each plan is different and the best way to know if your insurance will cover the sessions and if there will be any out-of-pocket costs is to complete the benefit verification form

We do allow 3rd party individuals and organizations to help pay the balance for clients. Due to HIPAA compliance though we cannot grant them access to the client portal. We do have a 3rd party payment form to allow them to make payments on your behalf. When a payment is made through this form we notify the client so they can decide if they want to inform the payer, we are not allowed to inform the payer directly. 

Get in touch today to get matched with a therapist

313-451-3315 contact@embracechangetherapy.com