• Individual Counseling Sessions - 53-60 minutes

• Couple’s Counseling Sessions - 53-60 minutes

• Initial Intake Session - 90 minutes

• Package Discount - I also offer a package of 4 counseling sessions at a 10% discount. The sessions can be used within a one-year time period from the date of the first session. I find that this package is often ideal for fertility patients who may desire additional support during specific times in their treatment cycles. This is available through a one-time, non-refundable, upfront payment.

  You can schedule a 15 minute free consultation here.

In accordance with guidance from ASRM (American Society for Reproductive Medicine), many fertility clinics require an educational session with a mental health provider before proceeding with the use of donor gametes (donor egg, donor sperm, donor egg and sperm, and donor embryos), and/or with the use of a gestational carrier/surrogate. As a licensed mental health counselor who has specialized training in the area of infertility and 3rd party reproduction, I am uniquely qualified to provide this service.

• Purpose: Your unique journey through 3rd party reproduction can be complex, emotional, and resource-intensive, so the educational counseling sessions are designed specifically to assist you through the process. We discuss some of the particular decision-making associated with your family building, and I support you as we process the feelings that may come up.

• Fees: Vary depending on the appointment type, length, and clinical program requirements.

  Please contact me for additional information.

Fertility clinics typically require a mental health screening process for all known (directed) and unknown (non-directed) egg and sperm donors.

• Purpose: The purpose of the first appointment is to thoroughly evaluate your readiness for the significant life choice you are on the verge of making. The goal is to prepare you for the personal journey of donating and to help you understand the experience of any potential offspring resulting from your genetic contribution. Our appointment typically involves a comprehensive meeting with you and your partner (if applicable). This session will include a personality assessment, and there may be some take-home assessments as required by the facility.

• Reporting: Taking into account all of the gathered information, I will then provide a report and a recommendation to the facility per their guidelines. The report will be sent directly to the clinic as required. This data, alongside other pertinent details obtained by the facility’s internal screening process, will assist your clinical team in making their final determination. Prospective donors and donation recipients do not receive copies of reports or results.

• Follow-up: After the initial meeting, there will be a joint session including you, your partner (if applicable), and the recipients of your donation to ensure that everyone is on the same page.

I find immense joy in connecting with donors, like yourself, who selflessly assist individuals and couples in building their families. My aim is to help you make an informed decision that fills you with confidence and to ensure that you have supports in place throughout this entire process.

Please contact me for additional information.

YOUR RIGHTS AND PROTECTIONS AGAINST SURPRISE MEDICAL BILLS 
(OMB Control Number: 0938-1401)

When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.

What is “balance billing” (sometimes called “surprise billing”)?
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs,    such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit. “Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care – like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider .

You are protected from balance billing for:

• Emergency services*If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.

• Certain services at an in-network hospital or ambulatory surgical center*When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.If you get other services at these in-network facilities, out-of-network providers can’t balance bill you unless you give written consent and give up your protections. You’re never required to give up your protection from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.
  
  When balance billing isn’t allowed, you also have the following protections:

• You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.

• Your health plan generally must:o  Cover emergency services without requiring you to get approval for services in advance (prior authorization). 

• Cover emergency services by out-of-network providers.

• Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits. Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.

If you believe you’ve been wrongly billed, you may contact: Washington Attorney General’s Office at 360-753-6200 or the Montana Attorney General’s Office at 406-444-2026.Visit https://www.cms.gov/files/document/model-disclosure-notice-patient-protections-against-surprise-billing-providers-facilities-health.pdf for more information about your rights under Federal law.