Frequently Asked Questions

A Superbill is a fancy receipt with diagnostic codes and other information necessary to submit out-of-network claims. Rebel Heart Therapy is happy to provide monthly Superbills to clients submitting claims.

What is a Good Faith Estimate, and who are they for?
A Good Faith Estimate is for individuals not enrolled in an insurance plan or coverage or a Federal health care program or not seeking to file a claim with their plan or coverage, you have the right to receive a “good faith estimate” of the expected cost of any non-emergency items or services.

How do you get one?
Clients may contact our billing team at billing@rebelheartpdx.com at any time to request a Good Faith Estimate. Make sure to save a copy or picture of your Good Faith Estimate.

What do you need to know?
If you receive a bill that is at least $400 more than your Good Faith estimate, you can dispute the bill. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call our billing department at 971-350-1122.

Our fees range from $125 - $225 per 50-minute session, depending on the clinician's experience, licensure, and expertise. The fee for the first session, a 60-minute intake session, is from $150 - $250. You can view specific rates at www.rebelheartpdx.com/hours-fees

Each clinician at Rebel Heart Therapy can write two free surgery letters of referral per month.

No, there is no cost for the 20-minute initial consultation video appointment.

Yes, you can use HSA/FSA cards.

IN-NETWORK: We are in-network with Kaiser and OHP. Rebel Heart Therapy will verify your benefits prior to your session. EXCEPTION: If you have First Choice, even when underwritten by Kaiser Insurance, you must verify if they will cover services at Rebel Heart Therapy.

PRIVATE PAY/OUT-OF-NETWORK: We can submit out-of-network claims for other insurance companies on your behalf. For out-of-network, please note the following policies:

• Clients are charged for services at the time of their service.

• Not all therapeutic issues are reimbursable; you must verify the specifics of your coverage.

• Contact your insurance provider to determine if you have out-of-network coverage.

• We cannot provide you with specific information about your out-of-network reimbursement. The client is responsible for verifying out-of-network benefits with their insurance company.

Please be aware that submitting a claim for reimbursement requires a diagnosis and carries a certain amount of risk. Once a claim is submitted, we cannot control what happens to that private health information.

Clients are charged the full fee on the day of the session, whether billing out-of-network or private pay. Insurance companies typically take a few months to process initial claims, which we understand can be frustrating. After the first few claims are processed, they tend to not take as long.

If Rebel Heart Therapy receives reimbursement for claims we submit on your behalf, we apply the payment as a credit for future sessions. For most out-of-network situations, clients continue to pay the full session fee when no credit is available on the account.

There are numerous reasons why payment for a session might decline. For example, you may have received a new credit card from your bank, or your card may have expired recently.

In the event of a declined payment, the billing department will send you an email informing you of the issue and providing you with the steps to update your Credit Card Authorization in the client portal. (Please note, using the "make a payment" option pays your current balance but does not update your credit card info for future payments.)

If the payment information is not updated and another session is declined, you will receive a second email with the same information. If we cannot process payment for the following session (three declined payments in a row), further appointments will be paused until your balance has been paid.

Rebel Heart Therapy is a specialty clinic. Our clinicians are trained LGBTQIA+ Affirmative Therapists, with many holding other credentials or areas of expertise. We have been working hard to keep our rates low to ensure that our services remain accessible to all who need them. However, when our practice is no longer at market rates for services, our clinicians do not receive pay that is on par with their cisgender and heterosexual colleagues at other practices.

As a practice, we are committed to supporting community access to care and value accessibility in mental health care. At the same time, we understand that our clinicians are also members of these communities. They deserve fair compensation for their work and the ability to provide for themselves and their families. It is essential for us to balance the needs of our marginalized clients with those of our marginalized staff.

Rebel Heart Therapy increases fees to stay current with the average session fee and average employee pay rate for specialized clinicians in the Oregon area.

Session fees increase annually on January 1st unless there was a rate adjustment during the previous calendar year or if a client started with their clinician after October 1st. Rebel Heart Therapy notifies clients of fee adjustments via email, posting notices in the office, and uploading a letter in the client portal.

When a clinician has a licensure change during the calendar year, client fees will increase when the licensure change takes effect. Clinicians will discuss these fee changes with their clients in session approximately one month before said fee increases. Clients who have a fee increase during the calendar year due to their clinician licensure status changing will not have a fee increase on January 1st of the following calendar year.