Sliding Scale Option

Stephanie offers three levels of a sliding scale rate if you are unable to pay the full rate, do not have insurance coverage, or we are not in-network with your insurance. This will be the price for the initial intake, individual sessions, parenting sessions, and family sessions.

Level 1: $100.00

Level 2: $75.00

Level 3: $50.00

There is not ‘proof’ or financial paperwork required. If you require a sliding scale fee, please indicate which level works for you during initial scheduling. I trust you to be honest in your assessment of your economic reality.

The three levels are based on the Green Bottle sliding scale model. For more information on the Green Bottle model, please see: The Sliding Scale: A Tool of Economic Justice — Worts + Cunning Apothecary | Intersectional Herbalism + Magickal Arts (wortsandcunning.com)

Basic Needs includes food, housing, health care, and transportation.

Expendable income might mean you are able to buy coffee or tea at a shop, go to the movies or a concert, buy new clothes, books, and similar items each month, etc.

Level 1 (The Left Bottle):

I am comfortably able to meet all of my basic needs.

I may have some debt, but it does not prohibit attainment of basic needs.

I own my home or property, OR I rent a higher-end property.

I own or lease a car.

I am employed or do not need work to meet my needs.

I have regular access to health care.

I have access to financial savings.

I have an expendable income.

I can always buy new items.

I can afford an annual vacation or time off.

Level 2 (The Middle Bottle):

I may stress about meeting my basic needs but still regularly achieve them.

I may have some debt, but it does not prohibit the attainment of basic needs.

I own or lease a car.

I am employed.

I have access to health care.

I might have access to financial savings.

I have some expendable income.

I can buy some new items and I thrift others.

I can take a vacation annually or every few years without a financial burden.

Level 3 (The Right Bottle):

I frequently stress about meeting basic needs and don’t always achieve them.

I have debt and it sometimes prohibits me from meeting my basic needs.

I rent lower-end properties or have unstable housing.

I do not have a car and/or have limited access to a car but am not always able to afford gas.

I am unemployed or underemployed.

I qualify for government assistance including food stamps and health care.

I have no access to savings.

I have no or very limited expendable income.

I rarely buy new items because I am unable to afford them.

I cannot afford a vacation or have the ability to take time off without a financial burden.

Good Faith Estimate and No Surprise Billing

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, coverage, or Federal health care program, or who are not seeking to file a claim with their plan or coverage both orally and in writing, upon request or at the time of scheduling health care items and services 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. Under the law, health care providers need to give patients who do not 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 including related costs such as medical tests, prescriptions drugs, equipment, and hospital fees.

Make sure your health care provider gives you a good faith estimate in writing at least one business day before your medical service or item.

You can ask your health care 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.