What private pay means
The fee is $175 for each 50-minute session. The first 30-minute consultation is free. John does not submit claims to an insurance company or accept payment from a plan.
Private pay does not automatically mean your plan will reimburse you. Benefits vary by contract, provider status, service, and the information an insurer requires. Two people with the same insurer may have different coverage, so another couple's experience cannot predict yours.
The reimbursement issue couples should know
Couples counseling is frequently not reimbursable at all because relationship distress is often not a billable mental health diagnosis, and insurance reimbursement generally requires diagnosing one partner with a condition.
John does not promise reimbursement, estimate what a plan will pay, or shape couples work around a diagnosis simply to create coverage. The relationship is the client focus here. That distinction is worth understanding before either partner counts on insurance to make the fee manageable.
Questions to ask your plan
Ask whether your plan includes out-of-network outpatient mental health benefits, whether couples sessions are eligible, what documentation is required, and whether a deductible applies. Use the plan's own language and request an answer in writing when possible.
A benefits representative's explanation is not always a guarantee of payment. Your insurer makes the reimbursement decision, not John.
Documentation is a consultation question
Some plans ask for particular documentation. What John can provide has not been stated as a blanket promise, so raise documentation directly during the free consultation before assuming it will be available or sufficient.
Do not assume that a superbill or any other particular document will be available. Clarifying the plan's requirements and John's documentation directly prevents either partner from budgeting around an unconfirmed reimbursement.
What a session actually looks like
Insurance status does not change the 50-minute couples session. Both partners meet by telehealth while physically in Texas, and John focuses on the relationship pattern rather than dividing the appointment into individual treatment.
He does not provide diagnosis-led treatment, assessments, medication, or individual therapy. If one partner needs those services, a separate provider is appropriate.
Plan for the full fee
The safest financial assumption is that you will be responsible for the full private-pay fee unless your insurer confirms and pays a benefit. No reimbursement amount or timing can be promised.
The free 30-minute consultation is a good place to discuss fees and documentation before scheduling. No counselor can guarantee a clinical or financial outcome.
Common Questions
Does John bill insurance?
No. John is private pay and does not bill insurance directly. You pay $175 for a 50-minute session.
Will my plan reimburse couples counseling?
Possibly, but often it will not. Ask your plan directly, and do not rely on reimbursement until the insurer confirms and pays it.
How long are sessions and what do they cost?
Sessions are 50 minutes and $175. The first 30-minute consultation is free. John works on a private-pay basis and does not bill insurance directly, though some couples have out-of-network benefits worth asking their plan about.
Take the Next Step
If any of this sounds like your relationship, the next step is a free 30-minute consultation. Both of you can meet John, ask what you want to ask, and decide together whether to schedule a first session. You can also call or text 817-381-0691.

