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  • Do you take insurance?
    I do not take insurance. Why? There are several reasons. Here are a few: Confidentiality & Treatment Dictatorship. Insurance companies engage in audits and non-clinical staff review treatment plans, diagnoses and session notes. Those staff can then determine if/when treatment continues, for how long, and can choose to take back any payments if they deem treatment was not medically necessary. I want your sessions to be fully confidential. Medical Model/Assumption of Illness. Insurance companies also utilize a medical model that requires a diagnosis. Sometimes, people are comfortable with the diagnosing process and a diagnosis fits their experience. Other times, people don't want a diagnosis or don't fit neatly into a diagnostic category. I want your sessions to be on your terms. Low Reimbursement, High Demand. Finally, insurance companies reimbursement rates are often very low and do not reasonably account for things like extensive training and years of experience. Lower rates combined with the high demands related to documentation, billing, prior-authorization, etc. mean that therapists spend a lot of time managing administrative tasks and have to take on more clients to make ends meet. I want to be fully present for you. To provide you full agency over your care, I can & will participate with insurance companies who offer Out-of-Network Benefits. Usually these are PPO plans. To do this, you pay for your session in full and I provide you with a special receipt called a "Superbill" that has all of the information an insurance company needs from me. You submit that bill and they may provide all or a portion of the cost of therapy back to you directly. You may utilize a program such as Reimbursify (link at the bottom of this page) to check your benefits. Then, you may choose to utilize Reimbursify (or similar OON reimbursement program) to help with the reimbursement process or you may do it independently. Please not I do not endorse these programs or provide support in navigating the reimbursement process.
  • What about Out-of-Network coverage?
    Most PPO health insurance plans offer out-of-network benefits. You can usually find out what kind of plan right on your insurance card (HMO/EPO/PPO). You can also call your insurance company to find out if you have out-of-network benefits. If you do, a receipt or "Superbill" is available on the Client Portal for you to print and submit to your insurance company. Some things you should know: I do not engage with insurance companies at all. We will need to work within a medical model, which means I will assign a diagnosis to you that will be included in all documentation on the portal and you will be required to share that information with your insurance company. I always do my very best to ensure that my documentation and practices align with insurance requirements. All information that is typically required for insurance will be available on your Superbill. Payment and fees are your responsibility regardless of what is covered or denied by your insurance company for out-of-network benefits. Some insurance companies require therapists to contract with them for out-of-network benefits and I do not do that. Below are a list of questions you can ask your insurance company should you choose to seek reimbursement. Remember that once you engage insurance, your information is on-record with them. Do I have out-of-network benefits? What is the out-of-network deductible? Is mental health counseling covered? How do I submit for reimbursement?
  • Where can I find your Privacy Practices?
    All of our Privacy Policies (including practices, terms of service and social media policies) can be found on the About page under Privacy Practices.
  • Where do you hold sessions?
    The short answer is: anywhere that works best for you! I can meet with you virtually via my secure telehealth platform, we can meet in my office, located at Vermont Doula Company on Farrell Street in South Burlington, VT, or I can meet with you in your home.
  • What is the difference between the drop-in groups and Therapy Groups?
    The drop-in groups are not clinical at all and include community members. They could be staffed by myself or a Vermont Doula Company Doula. The Daily Drop-In Group is free for all Littlefield Counseling LLC clients who have sessions at least twice per month. Therapy Groups are clinical. You will need to participate in a clinical intake where we will work together to identify your treatment goals and ensure that Group Therapy is right for you and your needs. Group Therapy is always facilitated by a licensed therapist or pre-licensed therapist under supervision. All therapy groups are billed weekly and can be paid for through the Client Portal.
  • When do Therapy Groups run?
    Therapy Groups run September-May and are only offered in-person and depend on enrollment (minimum 4 participants, maximum 6 participants). If you are looking for an therapy group that meets virtually, visit or contact Megan Poor, LICSW.
  • What is your cancellation policy?
    This is pretty radical, but I don't have one. Cancellation Policies fall outside of my belief systems. For the most part, I encourage us all to hold the humanity of each other and remember that mistakes happen, illness happens, and we are all doing the best we can with the resources we have available to us. That said, if cancellations, regardless of how much notice I receive, become a pattern (usually 2 in a row or more than 25% of the time barring chronic illness that is disclosed at intake), we will have a compassionate and exploratory conversation about how services can be altered to better suit your needs.
  • What if I am unhappy with my services?
    If after our initial intake session, you do not wish to continue with my services, you are welcome to let me know and seek alternative care. My hope is that we will have a clear understanding of your needs and my ability to meet those needs after our initial intake session. I strive to keep your treatment plan a live and working document with clear goals and paths to achieve those goals. I find that frustrations in treatment for both the clinician and the client arise when there is lack of clarity around what we are working on and/or how we will get there. All of that said, a clinical goal I have for myself is to create an environment where you feel safe to communicate openly and honestly with me. A goal I have for everyone I work with is for you to have the confidence and belief in your own worth, strength and vision to openly discuss challenges with me so that we can work together to make it right.
  • What's the difference between you and something like Better Help?
    BetterHelp is a business that is in the business of making money. Therefore, they operate in ways that are highly unethical by clinical practice standards, but are perfectly legal in the business world (though there are a number of legal challenges they are facing right now). For example, you subscribe to the service but if you don't use it, you pay anyway and BetterHelp keeps the money. Many people subscribe and don't utilize the service and forget about the auto-pay set up and continue to be billed for services they are not using. In addition, my anecdotal experience is that highly skilled clinicians don't utilize platforms like BetterHelp both because they are aware of the profound ethical issues or because they are well-enough established in their local community with a strong reputation that they don't need support with referrals through a company like BetterHelp. I have lived and worked in my community my entire career. I love my community and I want to do right by you. My work and my name are my business so I am highly motivated to do my best work.
  • What if I don't agree with your philosophy about equity and liberation?
    I am not the right therapist for you. My philosophy about equity and inclusion permeate my entire being and are foundational to my practice and daily life. There is not a way to separate this from my clinical work because it shapes my clinical work. As a clinician working to decolonize therapy, the history of which is rooted in the oppression and harm of others, there are some fundamental truths and historical facts that I am unwilling to compromise or deny. I do not believe I can be effective if I compromise my belief systems for anything - especially money/capitalism. Perhaps equally or more importantly, it is unlikely you will be happy with my services - and I want everyone, even people who think and feel differently from me - to have access to services that work for them and meet their needs. Everyone deserves access to health care.
  • What if I say something racist, homophobic, ableist, etc. while meeting with you?
    The most beautiful thing about recognizing and accepting our own internalized -isms and phobias is that we no longer need to fear them, feel shame about them, and desperately try to avoid them by putting up protective but harmful barriers around us. Instead, we can explore them with curiosity and compassion thus creating a culture of support and accountability. I would especially love to partner with you to build your confidence and strength in being confronted when causing harm - it will make you a better parent, partner, friend, and ally. With compassion, we will explore where those things come from compared to your values, morals, and where you want to go. If you fundamentally do not agree and/or have no desire to explore those thoughts/beliefs, I am not the right therapist for you.
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