SERVICES

  • Throughout the process, you and your child will engage in a combination of individual and family sessions. Sessions will focus on teaching practical skills tailored to your child’s needs. Our goal is to partner with your family to achieve tangible results and meaningful growth.

    Therapy has been proven to be effective with children. Therapy is a place where children can express their feelings and learn new skills. Caregivers will also learn how to effectively support their child’s needs.

  • Choosing a mental health provider for your child and family is a big deal. Therapeutic relationships require trust and vulnerability. It’s important that an active partnership is created to work toward shared goals.

    Schedule an appointment online for a 15-minute phone consultation at no cost to talk with a provider at Pleasant Psychology. Have any additional questions addressed to know whether Pleasant Psychology is right for you and your child.

  • The goal of the first appointment is primarily information-gathering and to help all parties feel comfortable.

    One or more primary caregivers will meet privately with the therapist to discuss their concerns, as well as background and any other relevant information. In order to develop the best treatment for your child, together you and the therapist will spend approximately 60-90 minutes discussing these things in detail, including educational, medical, and psychological history.

    At the end of the session, the therapist will have a better idea of the most effective course of treatment and will answer any questions you have about this plan or the therapy process in general.

  • Collaborating with caregivers is essential in the treatment process. It is also important that children have a level of trust with their therapist. The therapist will share information regarding progress toward treatment goals with the client’s legal guardian. Overall, it is hoped that the relationship and communication between clients and their caregivers will improve through the treatment process.

    Any concerns regarding potential self-harm or suicidal thoughts will be shared with caregivers immediately. Suspected abuse or neglect or threats to harm others must also be disclosed to necessary authorities.

  • Each client’s history and needs are unique. That being said, there is no exact, “magic” amount of therapy sessions. Treatment is tailored to the individual and his or her specific needs.

    Together, you and your therapist will discuss progress throughout treatment and set goals that you, the therapist, and your child (if appropriate) agree upon. However, overall cognitive-behavioral therapy regimes generally range somewhere from 10-20 sessions depending on disorder under treatment, symptom severity, how long these symptoms have been present, and other factors.

FEES AND INSURANCE

  • We offer a variety of mental health services to address emotional, behavioral, and academic needs. Individual treatment plans are developed in collaboration with you and the provider. Services may include a combination of individual therapy, family therapy, consultation with other care providers (e.g., teachers, pediatricians), and psychological testing.

    All services begin with an Initial Clinical Interview, which lasts 60-90 minutes. The fee for this service is $250. At the conclusion of the session you and the provider will discuss treatment options and associated fees.

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

    Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

    You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

    Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or 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. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises

  • Pleasant Psychology is in network with Blue Cross Blue Shield of Michigan and Blue Care Network all other insurances are considered out-of-network. Payment for intake and therapy sessions are due at the time of service. Payment plans for psychological testing may be arranged. Services at Pleasant Psychology are billed at standard cost. Although Pleasant Psychology does not bill insurance, assistance is available to help families navigate the process of submitting claims for reimbursement. Most private health insurance plans provide some degree of out-of-network (OON) reimbursement, often 60-100% of the cost of services. If your insurance card or plan mentions “POS”, “PPO” or “out-of-network,” then you will likely have some level of coverage for OON services. Check with your insurance to be sure.

    To determine if your insurance company will reimburse you for payments made to Pleasant Psychology, call your insurance company and ask if you have “out-of-network benefits” for mental health services and, if so, at what percentage you will be reimbursed for each session. If you’d like to find out whether your insurance company will reimburse you for the cost of therapy or testing, you should contact your insurance company.

  • Call the customer service number (often found on the back of your insurance card).

    Ask the representative to explain your “out of network benefits” for behavioral health outpatient services.

    You should inquire about:

    Do I have out of network benefits to see a licensed psychologist or licensed social worker?

    What is the out-of-network deductible, and how much of the deductible have I met? This tells you what you would be responsible to pay before insurance starts to cover a portion of the sessions.

    If so, what percentage of the session fee do you cover? Specifically, you can ask, “What percentage of the out of network costs does [insurance company] cover after the deductible is met?”

    The representative may ask for CPT codes, which are codes used for describing the procedures conducted in the session (e.g., psychotherapy).

    Specific CPT codes to reference for therapy include: 90791, 90837, 90834, 90832, 90846, 90847.

    Specific CPT codes to reference for testing/evaluations include: 96130, 96131, 96132, 96133, 96116, 96136, 96137, 96138, 96139.

    Ask what the process is for you to get reimbursed for out-of-network services. Some companies have an online portal for uploading the superbill for reimbursement, while others require that the information is mailed in. Specifically, you can ask, “How do I access the form(s) needed to submit a request for reimbursement?”

    Make note of the date, time, and person’s name you spoke to on this call.

  • Pleasant Psychology does not communicate with, submit claims, nor accept payments directly from insurance companies. Additionally, Pleasant Psychology does not engage in single case agreements with other insurance companies.

    If you have out-of-network benefits, you would pay Pleasant Psychology for the full price of sessions at the time of service.

    Request a superbill statement from us, which will include a detailed summary of the services provided. Then send the required information directly to your insurance company for reimbursement.

    Consider using Reimbursify so you may easily submit your claims for out-of-network health insurance reimbursement for a nominal fee.