Session Costs and Insurance

Our goal is to not turn anyone away from services due to lack of funds.

If you are unable to pay our full costs, please reach out about sliding scale, low cost, and intern sessions.

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Session Costs (Staff Therapists)

Individual Session (55 minutes): $195

Caregiver Coaching Session (55 minutes): $195

Initial Intake Session (60 minutes): $220

Session Costs (Intern Therapist)

Individual Session (55 minutes): $85

Initial Intake Session (60 minutes): $97.50

*Interns are also able to provide additional sliding scale and low cost appointments

Sliding Scale

To ensure equitable access for clients of all socioeconomic statuses, we offer a sliding payment scale for our services* with a range down to $40 a session for our intern therapist and $80 a session for our staff therapists. Click here to see the sliding scale chart with session costs based on your household’s net income and family size or view the chart to the right

*We currently have availability for sliding scale clients.

*The figures to the right are based on Seattle Housing Authority figures for 2024. While a helpful starting point, we recognize that income is not the sole determinant of financial status and there can be many other factors influencing the ability to pay for services. Clients can select the tier that best fits their/their family’s needs. When considering your rate, please keep in mind that our sliding scale system relies on the payments from full-rate clients to support the reduced rates for clients with financial need. Thank you for helping us promote accessibility and equity within our practice.

*If your income is significantly below Tier D and/or you have additional financial circumstances that make it difficult to access therapy with these sliding scale rates, please inquire about our Low Cost therapy program for even lower costs (down to $5-$10/session).

Insurance Information and FAQs

We are not in-network for any insurance companies. We do, however, provide superbills that you can submit directly to your insurance.

  • Reimbursement rates from insurance companies are low, making it nearly impossible to pay our staff a living wage. We base our rates on what’s needed to pay our skilled clinicians a fair wage in their field.

    Sequoia also wants to insure that all of our clients are diagnosed without pressure from a third party, as some insurance companies require a formal diagnosis, leading to potential misdiagnosis or over-diagnosis. Insurance can limit the number of sessions they cover or may ask for confidential information as well. With these factors in mind, Sequoia would prefer to provide a higher quality of care versus the limitations insurance can produce.

  • If you are submitting your claims to insurance, they may be able to cover a portion of the session cost. Coverage may vary by insurance company, and it is always best to check directly with your insurance to get specifics and an understanding of what they will cover.

  • No, Sequoia does not bill insurance directly. However, we will provide you with the necessary documents needed to file for reimbursement, namely your superbills through Simple Practice. From there, your insurance will pay you directly.

  • Good news! Sequoia offers a number of options for families and clients who can not pay our full session costs. For more information on low-cost and sliding scale sessions, see our sliding scale info above, or reach out directly with questions to the hello@sequoiateencounseling.com email. Additionally, Sequoia’s intern Lucy Perry can offer a wider range of low-cost options to new clients and we encourage you to connect with her if she seems like a good fit for you and your family!

  • Once you’ve scheduled your first appointment, you will be set up with a client portal on Simple Practice. From there, we’ll send you a link to add a credit card. Charges are processed at midnight on the day of your appointment.

  • Yes, you can enter your Health Savings Account (HSA) card into our credit card form.

  • You do not have to pay superbills, they reflect your payment and allow you to submit to insurance for reimbursement.

  • Absolutely! Just let us know what you need, and we’d be happy to send you your superbill.

  • Sequoia Teen Counseling Center PLLC is considered an out-of-network provider by all insurance companies, including Medicaid and Apple Health. All payment for services is made directly by clients to Sequoia TCC at the time of the appointment. It is the responsibility of the client to undertake any communication with their insurance provider.

    Sequoia TCC does not contract with any insurance provider, nor do we communicate with insurance providers on your behalf.

    We recommend contacting your insurance provider before scheduling with Sequoia TCC in order to obtain accurate coverage details and reimbursement information. Sequoia TCC cannot guarantee any coverage options.

    Sequoia TCC is able to provide you with a superbill through our platform, Simple Practice which contains all of the information you need to request reimbursement from your insurance provider. You will automatically receive a superbill via Simple Practice each month. If you need any corrections made to your superbill, please contact hello@sequoiateencounseling.com.