getting started

-> POLICIES

BDSM lifestyle therapy

-> Session rates

I charge $170 per 50-minute individual session and $250 per 80-minute individual/couples/family session.

-> Insurance "superbills"

I do not work directly with insurance providers or accept insurance payments, but I can provide a monthly superbill outlining services provided to submit to your insurance company as an out-of-network provider. Please check with your insurance company for possible availability of mental health benefits. ** Most insurance companies do not provide coverage for couples therapy; I cannot give an individual mental health diagnosis for payment with your insurance company when providing couples therapy. I am also not authorized to work with clients who have Medicaid insurance.

 

-> Cancellation policy

It is my policy to receive a cancellation notice at least 48 hours in advance. An appointment means that specific time is reserved for you. Changes made within 48 hours or no-shows will result in being charged the full fee, as I may be unable to schedule another appointment at that time. All cancellations must be made through the client portal at https://tammy-kaia-bruski.clientsecure.me/.

-> Schedule availability

I am available Monday-Thursday 10:00-7:00 pm; closed Fridays and weekends. While my schedule is mostly full, feel free to contact me through my contact form to see if I have availability.

-> Consistency and duration of therapy

Every person or couple's needs are different, but therapy generally lasts from 3-9 months, depending on the nature and severity of the issues you need to address. I believe weekly or every-other-week sessions are ideal in the initial stages of therapy, as the consistent flow and rhythm between sessions is optimal for effective therapy. Once the therapeutic relationship has been established and initial goals have been met, we can discuss moving to meeting every 4-6 weeks for maintenance therapy.

 

Once we've terminated ongoing therapy, the door is open for mental health 'tune-ups' as issues come up in your life. 

-> Telehealth appointments

I am offering video and phone sessions in light of the uncertainty of the pandemic, closing my office earlier this year. 

 

In couples work, it's still important to be in the same shared space where you can fully read each other's body language and emotional expressions; please situate yourselves by sitting and facing one another in front of one stabilized computer screen or device if possible.

 

-> Good Faith Estimate

As of January 1, 2022, all healthcare providers are required to provide a Good Faith Estimate document to patients who do not have insurance or opt to not use their insurance (self-pay) to prevent "surprise billing" if requested by individual seeking services. You have the right to request a Good Faith Estimate document from your provider during your initial consultation or at any time during the course of your treatment. This document calculates estimated therapy costs and frequency of appointments for up to 12 months. If you receive a bill that is at least $400 more than your Good Faith Estimate, you may dispute those charges with the U.S. Department of Health and Human Services (HHS).

 

If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days of the date on the original bill. For more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.

-> Scheduling sessions online

I utilize Simple Practice, a virtual practice management system that allows clients to access their private portal for scheduling/ managing online appointments, attend telehealth sessions, submit paperwork, and process all payments via debit/ credit/ FSA/ HSA cards. 

Current clients may access their online portal at any time using the link below:

SP-Portal.jfif