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Fees & Insurance

Fees & Insurance


At The OCD and Anxiety Center for Change, therapy is personalized, collaborative, and guided by what matters most to you. To support flexible, evidence-based care for OCD and anxiety, the practice operates as a self-pay practice and does not accept insurance.

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This approach allows treatment decisions to be based on clinical need rather than insurance restrictions, supporting more effective and individualized care.

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Why I Do Not Accept Insurance

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Insurance companies often place limits on the type, length, frequency, and location of therapy they will cover. These restrictions can interfere with evidence-based treatment for OCD and anxiety, particularly when care is most effective through:

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• More than one session per week 
• Longer or extended sessions 
• Intensive treatment formats 
• Sessions provided outside the office (such as at home, school, work, or in community settings)

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Many insurance plans do not reimburse for these services. By remaining out of network, we are able to work together to create a treatment plan that aligns with your needs, goals, and values—without being constrained by coverage limitations.

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Confidentiality and Privacy

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As a self-pay practice, your treatment is not automatically shared with an insurance company and does not become part of a permanent insurance medical record unless you choose to submit claims yourself. Many clients value this added level of confidentiality and control over their personal health information.

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Fees

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• Initial intake appointment (60 minutes): $240 
• Ongoing therapy sessions (50 minutes): $200 

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Sessions that are longer or shorter than 50 minutes are pro-rated based on the hourly rate, calculated in 5-minute increments.

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Out-of-Network Benefits

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If your insurance plan includes out-of-network mental health benefits, you may request a superbill to submit to your insurance company for potential reimbursement. Coverage varies by plan, so it is recommended that you contact your insurance provider directly to understand your out-of-network benefits prior to starting therapy.

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Getting Started

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If you are considering therapy and have questions about fees, scheduling, or whether this approach feels like a good fit, you are welcome to reach out. Getting started does not require certainty—just a willingness to explore next steps together.
 

THE OCD and ANXIETY

CENTER FOR CHANGE is a PLLC

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Website: www.ocdchange.com

Email: jnogales@ocdchange.com

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