Payment Information
We are out of network with all insurances. While we understand many clients are looking to use their health insurance, we have made the very intentional decision to move away from managed care in order to protect and respect the privacy and autonomy of vulnerable populations we serve. Health insurance often creates unnecessary barriers to care for clients and perpetuates abusive and unsustainable burdens on clinicians. For people who have experienced harm from systems that were supposed to help, we believe this is the first step towards allowing you to have access to affirming and supportive care.
Because we do not participate with insurance, Out of the Margins utilizes an equitable price model that is designed to make individual therapy as financially accessible as possible (please note that couples and group therapy are not part of this model). We do this for the purposes of reducing barriers to mental health care, intentionally redistributing financial wealth and privilege, and empowering our community to build and nurture healing spaces of affirmation and belonging.
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An equitable pricing model is a tool for building economic justice that requires your active participation and our trust. When implemented effectively, each client will pay a similar percentage of their income for their therapy services. A range of payment options across the scale promotes broader accessibility, while ensuring fair compensation to our therapists that reduces their overall burnout. Paying according to your available resources creates a more equitable system for pricing our services.
With this model, Out of the Margins asks you to use the chart below as a self assessment tool to help you select a payment bracket that most closely aligns with your current financial situation. When joining our practice, you are agreeing to support our mission to redistribute wealth and help other community members by prioritizing our vision of equitable access to high-quality mental health care. We ask that you consider your costs, privilege, class background, lifestyle choices, income level, and earning power when selecting your fee. This system also works best when clients share with their therapists if there are changes in their financial picture that impact the original fee they have chosen. As such, we view this tool as an ongoing conversation and part of helping historically marginalized communities to feel empowered to discuss and manage their financial goals as part of their therapeutic goals. A portion of our monthly income that exceeds our operating costs and provider compensation will be utilized to support low- and pro-bono therapy openings.