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At First Thought Therapy, we are committed to providing accessible, high-quality mental health care and services to individuals, families, and couples. We accept a variety of insurance plans and offer flexible payment options to accommodate the diverse needs of our clients. We also provide sliding scale rates for clients with financial constraints, ensuring that everyone has the opportunity to receive the support they need.
Therapy Rates
We believe in transparency regarding our rates. Below is a list of our standard session fees:
Sliding Scale: We offer a sliding scale based on individual financial needs. Please contact us for more information or to discuss eligibility.
Insurance Coverage
We are currently in-network with several major insurance providers in MD, PA, NJ, VA, MA, and CO, including but not limited to:
If you do not see your insurance provider listed, please feel free to reach out to verify coverage. We also accept out-of-network insurance, and can assist you with the necessary paperwork to seek reimbursement.
Please note: Insurance coverage for therapy services may vary depending on your specific plan. We encourage clients to contact their insurance provider to verify benefits prior to scheduling their first session. We offer therapy in Virginia, Pennsylvania, Maryland, New Jersey, Massachusetts, and Colorado.
Standard Mental Health Evaluation
Includes clinical interview, screening tools, and written summary
Comprehensive Diagnostic Evaluation
Includes full clinical interview, in-depth symptom review, standardized assessments, collateral contact (as needed), and formal written report
Turnaround time: 7–10 business days (rush add-on available)
General Forensic Mental Health Evaluation
For court-mandated purposes such as competency, mitigation, or probation compliance.
Domestic Violence Evaluation
Includes clinical interview, domestic violence risk assessment tools, review of case history, and written report
Parenting Capacity Evaluation
Includes multiple interviews, parenting inventories, collateral interviews, and full written report
Standard Substance Use Evaluation
Includes clinical interview, substance use screening tools, and written summary
ASAM Level of Care Placement Evaluation
Includes structured ASAM Criteria assessment, clinical interview, substance use history, screening tools, and written report
**Evaluations are not covered by insurance, and are instead out of pocket expenses**
We accept the following forms of payment:
For those without insurance or those who prefer not to use insurance, payment is due at the time of service. We can provide you with a Superbill for out-of-network claims if applicable. If you have any questions regarding rates, insurance coverage, or payment options, please don’t hesitate to contact us. Our goal is to ensure that financial barriers do not prevent you from receiving the care you need.
In accordance with the No Surprises Act, First Thought Therapy is committed to providing transparent pricing and billing practices. As part of our commitment to helping you make informed decisions about your healthcare, we provide a Good Faith Estimate for all clients prior to initiating services.
A Good Faith Estimate is an estimate of the cost of services you may receive based on your specific needs. This estimate is provided to give you a clearer understanding of the expected costs, including any potential fees, and is not a guarantee of the final charges. Prices may vary depending on the services provided and your individual needs.
Important Information:
You have the right to request a Good Faith Estimate at any time before or during your therapy sessions. If you believe your final bill exceeds the estimate by a significant amount, you can dispute the charges through your insurance provider or with the help of a third-party mediator.
For any questions or clarifications regarding your Good Faith Estimate, please contact our office, and we will be happy to assist you.
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