Fees & Frequently Asked Questions

Plumeria Counseling PLLC is a private pay only counseling service. This means that we are not in-network or credentialed with any insurance providers.

However, if your insurance participates in out-of-network benefits we can provide you with a Superbill (only if one of you meet the criteria for a mental health diagnosis) that you would provide to your insurance company for them to reimburse you directly (reimbursement and amount of reimbursement is dependent upon each insurance policy). If you are unsure about your out of network benefits, we encourage you to ask your insurance company the following questions:

• Do I have out-of-network benefits for couples therapy?

• What is my out-of-network deductible?

• What is my reimbursement rate?

Here are the main reasons why we remain out-of-network with insurance companies:

1. We can not insure confidentiality: Insurance companies require diagnosis information and other treatment information in order to authorize treatment. Once that is provided by a therapist, the therapist can no longer insure that the information will remain confidential. We allow the relationship and exchange of information to stay between you and your insurance company by remaining out-of-network.

2. Difficulty getting treatment authorized: Sometimes there is a lengthy process involved in getting authorization for treatment. This can cause your treatment to be inconsistent, broken up, and can cause further delays in getting the help you need.

3. Misdiagnosing or over diagnosing in order to get treatment authorized: most insurance companies will not cover treatment unless it is “medically necessary”. This may mean the client has to “pretend” to have a diagnosis in order to receive benefits.

4. Most insurance companies do not cover marriage or family counseling unless it is part of a treatment plan for a more serious mental disorder: If there is a diagnosable partner, this can place the diagnosed partner in a position of feeling like they are the 'problem' in the relationship, because the focus for insurance companies providing coverage is that the symptoms of the diagnosed partner are the focus of treatment, and not on the improvement of the relationship as a whole.

5. Insurance eliminates the ability to tailor length of sessions to the couples needs: Progress for couples doesn't always fit in the traditional 45 minute time frame that insurance traditionally only covers. If sessions are longer, insurance will not cover the session time, which can lead to sessions feeling abruptly cut off. Being out-of-network provides the ability to tailor length of session times to what your relationship needs to make progress. Insurance also does not cover for couples intensives, which are sessions that last for several hours that can help couples do a deeper dive and make more progress in a shorter span of time than what traditional weekly 45 minute sessions might allow for.

Being out-of-network allows us the ability to freely tailor emotionally focused couples therapy to the needs of each couple without the stipulations insurance can impose. Insurance stipulations and expectations that they want to see in order for sessions to be covered is often inconsistent with what makes the research-backed therapeutic approach of emotionally focused couples therapy so effective. This is because emotionally focused therapy views the work as a partnership, rather than treating only one person in the couple pair.

Session Rates:

• 50-Minute Couples Session: $175

• 50-Minute Individual Session: $175

• 90-Minute Group Therapy: $50

*Please note that therapeutic groups run for a total of 6 sessions

($300 in total for all 6 sessions) and attendees are expected to

attend all 6 sessions to maintain consistency in personal progress

and maintain the emotional safety and stability of the group for all

attendees.

With anything that we want to maintain the health of in longevity, most of the time it requires investment. Fortunately, couples counseling is often a temporary financial investment since the goal is to be able to help the both of you get to a place where you can maintain healthy connection independently, and only recruit help from your counselor as needed once the foundation has been built. Investing in your marriage or relationship can be one the greatest pay offs because the health of your communication & intimacy not only improves the relationship, but can also improve your mental health, work life, physical health, family dynamics, and if kids are in the picture you are leaving a legacy for your children and supporting their mental and physical health.

Reduced rate slots are available on a limited basis. I would love to discuss the possibility of an available reduced rate slot to help you restore connection and heal in your life.

We are located within the Acclaim Behavioral Services office in the Evergreen Walk area at:

2400 Tamarack Avenue

Suite 201

South Windsor, CT 06074

Plumeria Counseling PLLC office hours are: Tuesdays: 9AM-3PM Wednesdays: 7AM-3PM

Thursdays: 7AM-3PM Fridays: 7AM-3PM

Length of time in therapy is dependent upon many factors such as, but not limited to, client goals, client’s life/relational experiences leading up to starting therapy, and client’s consistency in session attendance at the onset of therapy. For some, a few sessions of therapy may feel successful and help them meet their goals, whereas for others several months of consistent therapy may be necessary to produce lasting and sustainable change. Ultimately the goal of therapy is to assist you in achieving your personal goals, which can be a different timeline for each person in order to reach and sustain those goals.

Yes! Just because maybe one of you, or both of you don't talk as much, doesn't mean we can't make progress in sessions together. What I often experience with couples is that the power of your attachment with each other and the drive to repair connection, can often bring even the quietest of people to begin to open up in new ways and try new things in a therapy setting. Even to just show up for couples therapy is a huge step and a risk when being expressive and talkative doesn't feel like you're strength. Just you showing up holds incredible meaning about how much you value your relationship. In emotionally focused couples therapy we are trained specifically on how to engage individuals who maybe don't feel like they are really expressive and verbal. The silence in sessions is something that can be an incredibly powerful and meaningful place for couples to journey in together as we unpack the meaning behind those moments.

Yes! Being a certified emotionally focused couples therapist means I have received extensive training in knowing how to handle these moments with couples in session to help the both of you begin to have new experiences in even your most heated moments. Couples experiencing high conflict will often find that I keep sessions more structured in the beginning of our work so we can get to the roots of what's happening when these arguments break out. The structure is there to also help the both of you not repeat in session what you can do without a therapist being present. As long as both parties are willing to participate in the structures necessary to help break those cycles, then we can begin to make changes to the moments that feel most heated. I am here to help you both begin to experience change. I appreciate when couples let me in to see these most distressing places as it helps me understand and fully see what your negative cycle entails and just how hard it can be. When I get to see these hard moments with couples it helps me know where to plant us in sessions to start being able to share, hear and receive what is really trying to be said in those heated moments in a new way that helps repair bonds.

Absolutely! Having experienced an affair in your relationship is not a 'prerequisite' to being able to work with me. I have, and continue to work with many couples and marriages where infidelity is not the reason for attending marriage counseling. Emotionally Focused Couples Therapy can be incredibly helpful for couples to restore intimacy & connection even if their story doesn't include an affair.