Fees & Payment

I offer services on a private-pay basis. To keep therapy accessible while also sustainable, I use a sliding scale.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

​My sliding scale is designed so that weekly therapy represents a meaningful investment in your wellbeing that remains financially sustainable.

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Why Private Pay?

When you pay directly, you don't have to worry about insurance approval, session limits, diagnostic requirements, or your personal information being shared with third parties. Your care stays between us.

You have full autonomy over:

• What we work on and how

• How often we meet

• How long treatment lasts

• What gets documented and where

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Using Insurance: Superbills for Reimbursement

While I don't bill insurance directly, I can provide detailed superbills after each session that you can submit to your insurance company for out-of-network reimbursement.

What's included in your superbill:

• Dates of service

• CPT codes (procedure codes)

• Diagnosis codes

• My NPI and tax ID

• Everything your insurance needs to process your claim

Many clients receive 50-80% reimbursement from their insurance company, which can significantly offset costs.​

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Why I Don't Bill Insurance Directly

I stepped away from direct insurance billing after experiencing significant financial losses from unpaid and denied claims. More importantly, I've watched insurance become a barrier to care rather than a pathway to it.

In recent years, insurance companies have:

• Dropped coverage for gender-affirming care

• Restricted access to reproductive healthcare

• Imposed arbitrary session limits that disrupt treatment

• Required diagnoses that pathologize normal human experiences

• Denied claims for services they previously approved

I don't want your care subject to that kind of gatekeeping. By working outside the insurance system, I can focus on what actually helps you.

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Payment Details

• Accepted: Credit/debit cards, HSA/FSA cards, Venmo, Check

• When: Payment is due at time of service

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My Philosophy on Money & Care

If cost is the only thing standing between you and getting support, please reach out anyway. During our consultation, we can talk openly about what's feasible. 

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Questions?

Email me at kira@kiraleesextherapy.com or bring up cost concerns during your free 15-minute consultation. 

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