Investment & FAQs

While I do not contract directly with insurance in my private practice, I do work with Aetna clients as a contracted employee for Alma (a national group practice). If you have Aetna and would like to use your insurance to work with me, please visit my Alma listing at Mary Hill, LICSW -Alma and contact me through that platform. If you see the “Request A Consultation” button under my name, that is your indication that I am currently accepting clients via Alma. My availability at Alma ebbs and flows, depending on how busy my private practice is at any given time. If you have Aetna but still wish to pay out-of-pocket in order to protect your mental health records, that is fine. You will just need to sign an additional form.

Investment & Payment Options

Therapy is an important investment in YOU. Prioritizing & putting yourself at the top of the list is so critical during this tender season of life. You deserve quality care & you deserve to invest in your mental & emotional well-being. The beautiful truth about caring for yourself is that it translates into caring for your whole family. And you & your family are so worth it.

$200 per 53-minute intake session

$175 per 53-minute ongoing session

I am a private-pay, out-of-network provider, which means I do not accept insurance. I require payment at the time of service via debit, credit, HSA or FSA card. I offer superbills for clients who intend to seek out-of-network reimbursement.

Benefits of Private-Pay Care

• You are not required to be given a diagnosis in order to receive care.
• You are allowed to continue care as long as you wish without proving “medical necessity”.
• No one other than you will have access to your private mental healthcare records.
• Your mental healthcare records cannot be held against you in the context of a life insurance application or other potential policy.

My practice is currently 100% telehealth, via the HIPAA-compliant platform offered by my electronic health record, Simple Practice.

Unfortunately, I am only able to offer individual therapy to one of you for ethical reasons. I am happy to help connect your partner to additional resources so they can also access the care they need.

Nope! I work with parents across the gender spectrum.

Of course! I welcome you to tend to your baby’s needs (& your own) during our time together.

I don’t expect you to know! The care I offer is universally supportive. As we move through our first weeks together, we will have time for in-depth assessment & discovery of what type of care you are needing. And what you need will likely change over time, which is absolutely fine (and expected). I offer a big web of support & the exact spot where you initially land on that web does not preclude you from accessing all it has to offer.

I currently offer sessions for individuals, not couples.

Perinatal therapy tends to be shorter in duration than what many people think of as typical. While a generalist may see clients for years on end, perinatal therapy often lasts for less than a year. You are not required to commit to any set length of time; for some people a few months is enough, while others will stay with me for longer than a year. It’s very individual. Weekly appointments are my standard of care, at least for the first few months, but we can discuss what will work best for you.

I require 48-hour notice for all cancellations in order to avoid paying the full session fee. Full details of my policy can be found in my Disclosure & Informed Consent Statement, which is made available to all incoming clients.

If you opt for the Self-Pay option you have every right to decline a formal diagnosis. If you opt for the Out-of-Network option then you will need a diagnosis to qualify for reimbursement. Diagnosing is something we discuss in session and it never happens secretly or without consent.

Unfortunately not. I am unable to provide any on-call care, even in emergencies. If you experience a mental health crisis there are a few resources available to you: calling 911 or going to an emergency room; calling or texting 988 (Suicide & Crisis Lifeline); calling or texting 1.833.943.5746 (Maternal Mental Health Line); or calling 1.866.427.4747 (King Co. Crisis Line).

Not typically. I think it is in the best interest of people needing care in the perinatal period to access a therapist as soon as possible. If you inquire about my services & my practice is full, I will offer some resources that will hopefully be helpful in your quest for care. If I anticipate a spot opening very soon I will let you know and stay in touch.

Yes. If a plan is not already in place, we will immediately work to create a larger care team to help you stay safe as you stabilize & heal with the necessary scaffolding in place. Postpartum psychosis is a psychiatric emergency requiring hospitalization.

HIPAA refers to the Health Insurance Portability & Accountability Act. The basic tenet of this law is that it protects the privacy of the patient and prevents sensitive information from being shared without the consent or knowledge of the patient. It also allows patients to have full access to their medical records. It is important to note that I am a mandated reporter and there are a few privacy exceptions allowed within this law. These include instances such as: child or elder abuse/neglect; imminent threat of harm to self or others; court ordered release of records.

Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. This is provided upon request. 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 healthcare 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