Frequently Asked Questions

Many of our clinicians currently are in-network with: Blue Cross and Blue Shield PPO Plans ("Blue Options" is an example) NC State Employee's Health Plan Most Aetna Plans Evernorth (formerly Cigna) PPO Plans We are NOT in-network with BCBS limited network (EPO) plans including Healthy Blue, or Blue Home/Blue Local (UNC Alliance, NOVANT Health, Wake Forest Health, etc). We are NOT in network with BCBS and Aetna Medicare plans. We have opted out of Medicare, and thus are not able to see clients who intend to submit for reimbursement from Medicare, either as a primary or secondary form of insurance. Please check our individual therapist profiles for a list of the specific plans each provider accepts. PLEASE NOTE: If you are seeking to use your insurance coverage for relationship-focused therapy sessions (couple, partnership, family), we render an additional $10 surcharge per session on top of your insurance's required copay or coinsurance cost. The CPT code for this service we can use for insurance billing purposes (90847, or sometimes 90846) only covers a maximum of 50 minutes of our time together, compared to 55-60 minutes for an individual session. Insurance plans do not provide coverage beyond 50 minutes per day per insured party for this service. Due to this, and the time we spend with patients doing this work (which is almost always 55-60 minutes per appointment), this surcharge covers our additional time spent we cannot bill to insurance for. We do not provide an option to “opt out” of this cost electively by shortening session duration, as we find this shortened period of time can be less effective and can be hard to adhere to when there is increased complexity and skill involved.

Yes, we can! If you are using your "out-of-network" benefits on any insurance plan, we will gladly provide Superbills as requested. A Superbill is a document you submit to your insurance provider using your "out-of-network" benefits where the insurance company reimburses you directly for all or a portion of the amount paid. We are happy to answer any questions you may have about Superbills and insurance. Please note, we do not provide Superbills for Medicare, as we have opted-out from being an out-of-network provider for these plans.

Yes, we do a "fee for service"option as well, where an individual can choose not to work with any insurance for services, and pay our "private pay" fees. They are listed on our Services page. Additionally, we offer sliding scale to a percentage of our caseload based on financial need. Please contact directly for more info about sliding scale and availability.

We require 24-hour notice of any appointment cancellation. If not canceled within 24 hours prior notice of your scheduled appointment (or a no-show), a cancellation fee of $140 will be charged to the card on file.

Teletherapy is a lot like in-person therapy! We ask that the patient has a quiet, private space to conduct their session in, and that they have a good connection to the internet. It is also helpful to verify ahead of an appointment that your camera and microphone on your device are operating correctly, so our time is utilized effectively to the best of our ability. Patients can use a mobile device or a laptop for this option, and we will share ahead of time information about any apps or website addresses the patient will need to connect to their therapist.

In-office appointments are offered at our office located in Cary, North Carolina. These are by appointment only, and are limited to certain days or times by clinician. Currently, Chelsea and Julien are the only clinicians offering in-person appointments. ​ Our clinicians are able to see patients residing anywhere in the state of North Carolina via telehealth.

Horizons Marriage and Family Therapy accepts credit card payment only and is a cashless practice. Payments are taken via "card on file" at the time of service.