Cocoon Counseling Services, LLC

*At this time I am unable to take new clients for individual or relationship counseling*

Cocoon Counseling provides individual, relationship, and group counseling.

What to expect:

At this time I continue to do Telehealth appointments only as a result of the Covid-19 pandemic.

Once I am able to reopen in-person services, you will be welcomed into a comfortable and respectful atmosphere at Cocoon Counseling Services. The office is equipped with comfortable furniture, soft blankets, herbal tea selections, and a beautiful picture window.  It is located on the main floor, and is partially ADA accessible.  It is essential to feel safe, secure, and comfortable while doing therapy, and we strive to provide an atmosphere that allows you to feel at ease.  

As a client you will be treated with respect; you will be seen, heard and validated.  There are many options available to you so that your therapy is tailored to fit who you are and how you connect to the world.  Some of the areas we may work on include:

There are limitless options for individuals to tailor their therapy depending on areas of interest and willingness to change.  Options include utilizing art, music, writing and poetry.  It can be helpful to work on skills between sessions to increase the effectiveness of therapy, too. 

For couples, Emotion Focused Therapy and the work of Dr. John Gottman are heavily utilized.  Both modalities explore the way couples can struggle, and address the underlying, often unacknowledged emotions that can result in those arguments about seemingly small things (dishes, laundry, TV channel, etc.).  Both aim to reconnect people, increase intimacy and communication skills, and promote healing.

Fees:

Free 15 minute initial phone

It is essential that people find a therapist that is right for them.  A free 15 minute phone consultation is provided to ensure that people can make a good choice about the care they receive.

To schedule an initial consultation and for more information about rates, email Anna at: annacullop@cocooncounseling.com

Standard cash pay (discounted from insurance billing rate) rate is $165.00 for a 60 minute psychotherapy session.

Sliding scale is provided, and at this time all my sliding scale slots are full.  

I am in network with: PacificSource (Legacy Plus, Legacy Standard, Navigator, Smart Choice, Bright Idea, PSN, and Voyager), First Choice Health, and Kaiser (Tier 2 provider).

I am in network with OHP-Health Share (Multnomah County only) as an "Exceptional Needs Provider," working with those who identify along the LGBTQ continuum or are questioning or are uncertain of their sexual orientation and/or gender identity.  

I provide out-of-network billing for plans that qualify.

Appointments require 24 hours in advance for cancelation or they will be billed an $85 cancellation fee.

Your rights and protections against surprise medical bills:

YOUR RIGHTS AND PROTECTIONS AGAINST SURPRISE

MEDICAL BILLS

(OMB Control Number: 0938-1401)

When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.

What is “balance billing” (sometimes called “surprise billing”)?

When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.  “Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.

“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care - like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.

You are protected from balance billing for:

Emergency services:

If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.

Certain services at an in-network hospital or ambulatory surgical center:

When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensive services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.  If you get other services at these in-network facilities, out-of-network providers can’t balance bill you unless you give written consent and give up your protections.

You’re never required to give up your protection from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.

When balance billing isn’t allowed, you also have the following protections:

● You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.

● Your health plan generally must:

-Cover emergency services without requiring you to get approval for services in advance (prior authorization).

-Cover emergency services by out-of-network providers.

-Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.

-Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.

If you believe you’ve been wrongly billed, you may Contact the Oregon Board of Licensed Professional Counselors and Therapists (OBLPT):

Ph: 503-378-5499

Em: lpct.board@mhra.oregon.gov

Website: www.oregon.gov/OBLPCT

Visit https://www.cms.gov/files/document/model-disclosure-notice-patient-protections-against-surprise-billi ng-providers-facilities-health.pdf for more information about your rights under Federal law.