Frequently Asked Questions
We’ve compiled a list of common inquiries to provide you with quick and easy answers. If you can’t find the information you’re looking for here, feel free to contact us for further assistance.
Where is Gestalt Madison located, and in which states does it offer telehealth services?
Gestalt Madison is located at 1916 Marketplace Drive, Ste 206 & 207, Fitchburg, WI 53719, and it offers telehealth services to individuals in the states of Wisconsin and Ohio, with the possibility of serving the entire state of Wisconsin.
What is the typical session length and frequency at Gestalt Madison, and how is the duration of treatment determined?
Sessions at Gestalt Madison are typically 50 minutes long for individual, couples, family, and parenting therapy. The frequency, whether weekly or bi-weekly, depends on your unique needs. However, the duration of treatment is unpredictable since therapy is highly individualized, and there’s no standard timeframe due to the tailored approach for each person.
What payment options are accepted at Gestalt Madison?
Gestalt Madison accepts payments through various methods, including all major credit cards, Health Savings Account (HSA), and Flexible Spending Account (FSA) cards, as well as cash for full payment. If you opt for credit card payments, Gestalt Madison utilizes a secure, HIPAA-compliant software service called Ivy Pay, which allows for the setup of recurring payments for your appointments.
What is the cancellation policy at Gestalt Madison?
A 24-hour cancellation notice is mandatory at Gestalt Madison. In the case of late cancellations or no-shows, the full session fee will be charged.
What is the Good Faith Estimate at Gestalt Madison?
In compliance with the No Surprises Act (2022), you are entitled to receive an estimated cost of treatment. However, since the cost of treatment is unique to each client’s therapeutic needs, it is determined on a case-by-case basis. The team at Gestalt Madison is readily available to discuss the specific cost associated with your treatment.
What are the guidelines for electronic communication with Gestalt Madison?
Electronic communication, including email and text messaging, is not entirely secure. When you request email exchanges, you are granted permission to be contacted by email. It’s advised to restrict email and SMS text communication to scheduling and non-urgent matters. In the event of a crisis, please call 911 or your local emergency hotline for immediate assistance.
Does Gestalt Madison participate in insurance paneling or file insurance claims?
No, Gestalt Madison does not participate in insurance paneling or file insurance claims to ensure a higher level of privacy, confidentiality, and clinical integrity. However, they can provide you with a “Superbill” or receipts for services if you wish to seek reimbursement from the insurance company.
What information should I gather from my insurer to understand my Out-Of-Network Benefits?
To understand your Out-Of-Network Benefits and the potential for reimbursement, it’s recommended to ask your insurer the following questions:
- Do I have out-of-network mental health benefits?
- If yes, what percentage of the course do you reimburse?
- Do I have a deductible that I need to pay before getting reimbursed? If yes, what is that amount?
- How many sessions per year are covered?
- Is a prior authorization form from my primary care physician required
- How and where can I submit a superbill for reimbursement?
Investment Information
We provide you with essential details about our pricing, payment options, and related financial matters. We believe in transparency and want to ensure that you have all the information you need to make informed decisions about your financial commitments.
Initial Phone Consultation
Free of charge, typically 15 minutes in length
If you are interested in becoming a client, please email or call Gestalt Madison to set up a phone consultation. This is a time for both you and your potential provider to understand your situation better and decide if it will be a good fit to move forward.
Individual Psychotherapy Session
$175, typically 50 minutes in length
Our rate for individual therapy is $175 per session, with sessions typically lasting 50 minutes. Experience quality one-on-one therapy tailored to your specific needs.
Couples Therapy Session
$200, typically 50 minutes in length
Extended couples and family sessions can be accommodated. The cost of extended sessions will be adjusted on a prorated basis. Please discuss this with your provider if interested
Parenting Therapy Session
$200, typically 50 minutes in length
Whether or not your child or teenager is currently participating in therapy, Gestalt Madison offers this service to parents and caregivers. Please reach out directly to Gestalt Madison to learn more.
Organization Consultation And Training
Case consultation for mental health and other providers is also available. Gestalt Madison provides training, consultation, and resources related to psychotherapy, communication skills, best practices, and more. Please reach out directly to Gestalt Madison to learn more about this service.
Our Philosophy On Insurance And Treatment
As discussed on the FAQ page, Gestalt Madison does not accept insurance as part of being a private pay practice. There are a multitude of reasons why Gestalt Madison does not participate in insurance paneling. Insurance companies require your therapist to diagnose you with a mental illness or disorder in order to utilize your benefits, which in turn becomes part of your permanent medical record. This effectively compromises patient privacy and invites a third party into treatment where it does not belong. Oftentimes, clients do not fully meet the criteria within the DSM-5 to warrant a diagnosis, nor does one need to have a DSM-5 diagnosis to desire psychotherapy services.
Additionally, accepting insurance can become a bureaucratic, diagnostic-based paperwork process to satisfy the insurance company in order for them to cover the cost of the service that is provided. This fundamentally changes the process of psychotherapy, often in ways that may harm the client or impede the progress being made in therapy.
Empowering Patient-Centered Decisions And Insurance Benefits
Therapists and clients who work under the constraints of a third-party managed care company effectively lose their ability to make joint decisions regarding the duration, frequency, and purpose of mental health care. Gestalt Madison treats patient decision-making with respect and believes that decisions regarding treatment should be made by, and only by, the client(s) and therapist.
If you would like to utilize your insurance benefits, Gestalt Madison is able to provide you with a superbill and/or receipts of services received for reimbursement purposes. Please consult with your insurer to confirm your out-of-network benefits.
It takes two people to understand and help one, and the more often these two people meet, the greater the opportunity for creating the trust, continuity, and connection necessary to address what troubles the patient.
– Lena Theodorou Ehrlich
