Fees, Billing & Insurance

Fees for Service

50-55 min

APPOINTMENT


$160

90 min

APPOINTMENT


$240

90 min

GROUP THERAPY APPOINTMENT


$50

(Your individual therapist may offer another fee structure than the one listed above. You will receive written documentation of this alternative fee structure if available.)

Tandem Columbus provides reduced fee services for 20-30% of our clients on a weekly basis. Reduced fee services are generally reserved for those without insurance; those with Medicaid, Medicare, or Marketplace (Obamacare) coverage; or, for those who do not have access to mental health benefits through an employer or family-based insurance plan. If you receive Medicaid, you should know that therapy services are covered by Medicaid at many locations in Ohio. Your services will not be covered here at Tandem Columbus and we will not submit a claim on your behalf. If you need a referral to in-network Medicaid providers, please let us know.

We additionally will attempt to work on a “Solidarity Scale” ($30-$100) based on expressed need for anyone who identifies with one of these experiences:

  • Trans, Non-binary, and Gender Expansive people

  • Black and Indigenous people

  • Migrants, and/or 1st and 2nd Gen

  • Sex workers

  • Artist-Activists

  • Mental health workers in community settings

  • Recently incarcerated

  • Persons living with multiple disabilities, or persons with already high medical costs due to chronic illness

There are times when reduced fee services may be negotiated with clients who would experience a great financial strain by utilizing our services due to already high medical costs within the household.

Though we cannot guarantee we will be able to provide reduced fee services upon request, we will make every attempt to get you connected with a provider who is able to meet your financial needs when requested.

All reduced fee services will be documented in writing. We strongly encourage clients who feel comfortable requesting reduced fee services to step back by allowing someone else that opportunity, and for those who could greatly benefit but rarely ask to speak up.

Billing & Insurance

As an organization, we do not contract with insurance groups and are unable to bill most insurance groups on your behalf. Every therapist at Tandem Columbus should be considered an "out-of-network" provider, unless otherwise stated by your individual therapist.​ It is important to know that you may pay a higher cost for our services compared to services with an in-network provider outside of Tandem.

We will gladly provide referrals to an in-network provider outside of Tandem if you decide another billing agreement will better fit your needs.

There are many reasons why we do not contract with insurance groups:

Applying your insurance benefits

If you choose to use your insurance plan to offset the cost for counseling services at Tandem, most people will need to have insurance coverage that includes "out-of-network" benefits ("out-of-network" insurance benefits are not usually available through the marketplace/"Obamacare", or most HMO policies). It is important to know: Most insurance groups require a diagnosis to reimburse for counseling services. If you plan to use your out-of-network benefits, you and your provider will need to discuss the documentation of a clinical diagnosis at the start of your work together. Please note: if you are working with a pre-licensed intern or trainee at Tandem Columbus, your services are unlikely to be covered by your insurance in- or out-of-network.

To assist clients in obtaining the most accurate information on expected costs of services when applying insurance benefits, we recommend asking the following questions when contacting your insurance company’s member services (the phone number for member services can typically be found on the back of your insurance card):

1. Is psychotherapy/outpatient mental health care covered under my plan?

2. Is telehealth covered? (If applicable)

3. Do I have a deductible that I have to meet? What is my deductible?

4. What is my coinsurance or copay for outpatient mental health therapy sessions?

5. Is there a limit to the number of sessions I can receive on an annual basis?

6. Can I petition to receive a “single-case agreement” to have my sessions at Tandem covered at an in-network rate?

Payments

Payment in-full is due at the time of your counseling appointment. Your credit/debit/HSA/FSA card on file will be charged unless you notify your therapist of another form of payment.

We will work with you to try and ensure employee benefits, or other insurance benefits can be utilized.

Contact us or schedule an appointment