Fees and Policies

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Insurance and fees.

I am a provider for all Blue-Cross Blue-Shield products in Massachusetts, and can accept most out-of-state BC/BS.

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.

If you have out of network benefits through your insurance, I will charge you my private rate at the time of the session.   I then submit a claim electronically on your behalf, and your insurer reimburses you part of the cost of treatment.

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.   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 $175.  Follow-up sessions are $175 for an hour session, $150 for 45 minutes, or $125 for half an hour.

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. You may pay via credit card, debit card, or HSA/Flexible spending card  on my portal or app.


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 participate in the session or there is a family emergency.

Video sessions.

Video sessions are provided through my Therasoft HIPPA-compliant system.  You must be in a state where I am licensed – Massachusetts, Vermont, or Florida, at the time of the session.

Additional services.

Additional services not covered by insurance are billed to the client at $150/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, unless you have encrypted email, as I do.     You may also call 508-735-4468.

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