Coverage and Cost

Coverage

Our services are not covered by OHIP, but are covered by most extended health benefits plans. We recommend that you seek out the following information from your insurance provider:

Does the insurance provider require a referral from a physician before they will start covering the cost of therapy?

We do not require a referral, but some companies will not make payments without it.

What is your yearly coverage?

This can vary considerably from one plan to another.

Is your coverage limit per-person or per-family?

In the case of per-family coverage, if only one member is in therapy, you may be able to use the entire family’s allottment.

When does the annual coverage reset?

This is often at the end of the calendar year, but some companies restart their benefits in April/May, while others reset on your coverage anniversary date

Does your insurance provider cover the clinician you are interested in working with?

Most extended health plans have a benefit (i.e. an amount of money) that can be used for counselling or therapy provided by psychologists, social workers, and psychotherapists. However, some plans will only cover specific professions. Please verify that your policy covers the type of clinician you are thinking of working with.

Frequently Asked Questions About Costs

How much does therapy cost?

Hourly rates range between $175 and $225, depending on the clinician. A clinical hour includes 50 minutes of direct service; your clinician uses the remaining 10 minutes to document your work together.

Is there a difference in cost for family or individual therapy?

No. The cost is the same, regardless of the number of participants.

Can you bill my insurance company directly?

We can typically direct bill GreenShield, Blue Cross, Canada Life, Manulife (including OTIP), most long-term disability plans, WSIB, and NIHB for First Nations and Inuit clients (Health Canada). Please contact our office and our administrative staff can help determine whether we can bill your insurance company directly.

How much does an assessment (psychoeducational, cognitive testing, adaptive functioning, etc.) cost?

A full psychoeducational assessment costs $3,400. Depending on your specific requirements, less comprehensive assessments may be appropriate. Please contact our office to discuss your needs.