Fees and Policies

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Insurance and fees.

I am a provider for all Blue-Cross Blue-Shield products in Massachusetts, and accept out-of-state BC/BS.  Please also see “Single case agreement” below if you have a diagnosis for which there is an acute shortage of providers, such as a tic disorder.

There some things that it’s important for you to know if you  have another insurance:

High Deductible plans.

More and more, people have to satisfy high deductible amounts before their insurance begins to pay.  You would pay anyway to see a therapist without specialized training.   There can be no guarantees,  but research indicates that treatment with a therapist trained in behavioral treatments is generally much more effective.  Behavioral treatments are designed to be time-limited, so the expense is limited also.

Out of network benefits.

You may have out of network benefits.  I will be  happy to research this for you, and give you an estimate of your out of pocket costs.

Single case agreement.

At the present time, most insurers have no providers in this area who have advanced training in behavior therapy.   It makes sense for them to contract with me so you can get effective treatment.  In particular, there is a shortage of certified CBIT therapists for tic disorders.  Please contact me if you would like to find out more.

My private pay fees.

No one has to use insurance.  Insurance companies require a diagnosis for billing, and some clients prefer to avoid this.

When thinking about cost, please bear in mind that behavioral treatments are time-limited, for example, 6-12 sessions.   I am happy to provide specialized behavioral treatment and coordinate with the client’s established in-network therapist who treats other issues.

My private pay fees for the initial visit (intake) is $225.  Follow-up sessions are $150 for 45 mins. or $175 for 1 hour sessions.  Hour long sessions are used for certain types of treatment.

I request payment of your fee or co-pay/deductible at the time of service. Cash, checks, Visa and Mastercard, Discover and American Express cards are accepted.

Clients who have self-pay video sessions, and third-party payers, such as parents of young adults, should provide credit card information.  The card will be charged after the session.  HSA /Flexible spending account debit cards are also accepted.


A late cancellation fee is charged for those who cancel within 24 hours or don’t show up for the session.  Insurers pay nothing for missed appointments. Many therapists charge their full fee.  I have a lower late cancellation fee ($80), but expect it to be paid anytime you cancel late, unless you are too physically ill to come to the session.  If there is a weather advisory because of severe weather,  I waive the fee.

Video sessions.

Video sessions are available through my Therasoft HIPPA-compliant system.  Video sessions can only occur when both the client and I  in Massachusetts, or another state where I am licensed, because of licensing regulations.  I may ask you to come to my office for the first session.

Additional services.

Additional services such as writing letters for IEP meetings are charged at $80/hour.

“Goodness of fit”.

I regard the first three sessions as an introductory period during which each of us can decide whether we are a good “fit” to work together.  If we are not, I will offer suggestions for other providers or services.


I am happy to work with your prescriber or refer you to a psychiatrist or clinical specialist nurse who can prescribe for you.

Age groups of clients.

Adults, teens and children.

Record maintenance.

My records are maintained by Therasoft, a HIPPA-compliant electronic medical records system.  Your treatment is confidential and will not be discussed without your permission.  There are some exceptions.  If I believe that  you are a risk to harm yourself or someone else, I can break confidentiality, and if I become aware of the abuse of a child, an elder or a disabled person, I am mandated to report this.

Any person who assists me with billing or other administrative tasks is also bound by HIPPA confidentiality laws.

Contacting me

If you email me, please consider carefully what information you include, as email is not a secure medium.  I am not able to encrypt incoming email, unless you send it through the MyTherapist app.      You may also call 508-735-4468.

Call me at 508-735-4468 or email me at hturano@tsecuremail.com