I am out-of-network with insurances and for individual therapy, I can provide a superbill for you to submit to your insurance for out-of-network reimbursement.
Couples sessions are self-pay only. Most insurance plans only reimburse sessions tied to an individual diagnosis, not a relational concern, so out-of-network reimbursement for couples work is rarely available.
I intentionally keep my caseload smaller than a typical insurance-based practice. This lets me offer the kind of depth-oriented, specialized work that's hard to do well at high volume.