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  • Asuris

  • Aetna/Aetna EAP

  • Anthem

  • Blue Cross/BlueShield

  • EAP (Various Networks)

  • First Choice Health/First Choice EAP

  • GEHA

  • Interwest

  • Kaiser Permanente PPO/HMO

  • Lifewise

  • LifeWorks

  • MODA Health

  • Multiplan

  • Network Advantage

  • Premera

  • Pacific Source

  • PHCS

  • Providence

  • Regence

  • United Behavioral Health

  • United Healthcare

  • Uprise Health

  • Sliding Fee/Private Pay

I accept most managed care contracts, private insurance and fee for service.  I am a provider for the following groups and can often accept insurances not listed on an out of network basis.  

FEES:  Intake (Initial session): $200.00; Family/Couples: $160.00; Individual session costs varies upon time utilized:  Individual-53-60 minutes: $160.00; Individual-38-52 minutes: $120.00.  Clients paying privately may request a private pay discount where an agreed upon fee can be determined.

No Surprises Act/Good Faith Estimates for Private Pay Clients


You have the right to receive a “Good Faith Estimate” explaining how much your health care will cost you.  Under the law, Tiffanie O’Rourke, M.A., L.M.H.C. is required to provide clients who do not have private health care coverage or who are not using private health care coverage an estimate of their bill for health care items and services before those items or services are provided (aka:  clients paying privately).

You have the right to receive a Good Faith Estimate for the total expected cost of any health care related services, items or counseling services upon request or when scheduling.

If you schedule counseling services at least 3 business days in advance, Tiffanie O’Rourke M.A., L.M.H.C. will give you a Good Faith Estimate in writing within 1 business day after scheduling. 

If you schedule counseling services at least 10 business days in advance, you will receive a Good Faith Estimate in writing within 3 business days after scheduling.

If you receive a bill that is more than $400 than your Good Faith Estimate, you may dispute the bill.

Please save copy or picture of your Good Faith Estimate and your bill. For questions or more information about your right to a Good Faith Estimate, visit, email, or call 1- 800-985-3059. 

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