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Frequently Asked Questions

Are you meeting in person or online?

All of our clinicians are offering both in person and/or telehealth sessions, depending on your needs. We can see folx for teleahealth anywhere in NC. 


Our office is located at 537 College St, Suite #102, in downtown Asheville, NC. We have a free, onsite parking lot and are near the 240 interchange as well as a city bus stop.

Do you take my insurance? 


All of our therapists are "in network" with Blue Cross and Aetna.

*** Please note that we are NOT in network with Medicaid or Medicare, and even if your Medicaid and/or Medicare policy is managed by one of the above listed insurance companies, we are unable to bill your insurance and you will be responsible for the full cost of sessions. Please let us know if you have Medicaid or Medicare prior to your intake session. ***


You are responsible for your portion of the payment (co-pay, deductible, co-insurance, etc) at the time of services. We do accept HSA cards as therapy is considered a medically necessary service that is covered by most HSA plans.

What if I don't have BCBS or Aetna?

If you do not have the insurance mentioned above, we are considered "out of network" providers. That means you will pay the fee for services at the time of your appointment directly to Flourish and then you can seek reimbursement from your insurance company.


We can provide a superbill for you to obtain "out of network" benefits if you do NOT have one of the insurance types that we are in network with. You likely have "out of network" benefits through your insurer and we are happy to provide both an invoice and a superbill so that you can independently request reimbursement from your insurance company. The amount your insurance company reimburses you is dependent upon your individual policy guidelines. Please note that Medicaid does not typically reimburse for services that you have received from out-of-network providers.


You can contact your insurance company directly to determine whether you have "out of network" benefits for mental health treatment and what their reimbursement rates are. You will want to ask the following questions: 

          1. Do I have "out of network" benefits for mental health treatment?

          2. Do I have a co-pay or deductible for "out of network" benefits?

          3. If I have a deductible, what is that amount? 

          4. Tell them that you will receive a "superbill" and ask how to submit your claim to them directly.

          5. If your insurance company asked what specific "CPT Codes" you will be using, please provide the following information: 90791 for the first intake session, 90837 for individual therapy, 90847 for family therapy, and 90846 for parenting sessions without your child present.


What are your fees if I don't have insurance, or don't want to use my insurance?

We offer a "set your own fee" structure, where you choose the amount you pay for sessions within our range of $140 - $200 per session if you do not have the types of insurance we are "in network" with, or if you elect not to use your insurance.

90791 (Initial 55-minute intake session) = $140-$200 (chosen rate)

90837 (Standard 55-minute session) = $140-$200 (chosen rate)

90847 (Family session, 30-55 minutes) = $140 - $200 (chosen rate)

90834 (40 minute session) = $140 (set rate for all)

90832 (25 minute session) = $125 (set rate for all)

90846 (Parent session, 30 minutes) = $125 (set rate for all)

Couples counseling sessions (60, 75, 90 minutes) are between $200 - $250 per session.

Support groups (60 minutes) are typically $50-75 per participant per group.


You can read our "Good Faith Estimate" here


How do intakes work?

Prior to scheduling an intake session, we offer a free 10 minute telephone consultation in order to help us both determine whether we'll be a good fit for another. You can email us here to schedule a consultation, or call us at 828-532-6717.  


Once both you and our clinical team have determined it is a good fit, you will receive an email link to complete your intake paperwork packet via Therapy Notes, our HIPAA secure Electronic Health Record System. Intake paperwork must be completed within 48 hours in order to "hold" your intake session and, if it is not complete within 48 hours, your session will be canceled. 

If you are scheduling an intake session for your child, it is expected that both the child and at least one parent or guardian will attend. Your clinician will also offer a "parent only" session, which will occur after the intake, for you to talk in more detail about issues or concerns that are not appropriate to talk about in front of your child. 

Do I need a formal mental health diagnosis to receive therapy?

If you would like to use your insurance benefits, to be provided with a superbill to access your "out of network" benefits, or to use your HSA card, we are required to demonstrate "medical necessity" for therapy, which does include having a formal mental health diagnosis.


If you elect to pay privately and NOT use insurance benefits or your HSA card for therapy, we are not required to make a formal mental health diagnosis. 

What if my child misses school for an appointment? Is that an excused absence?

Yes, coming to therapy is a medical appointment in the same vein as going to the dentist, seeing your primary care physician, or going to physical therapy. We provide "school excuse" notes upon request for all session times that occur during the school day, either handwritten on the day of the session or you can later request a note for previous sessions by emailing our case manager ( and we'll send you a note through our secure Therapy Notes portal. Please double check with your own school to confirm this information and to see what their process is for turning in "school excuse" notes.

Ready to schedule? 

Email or call us at 828-532-6717!

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