We accept cash, checks or credit/debit card payment at the time of service. You may consider using medical spending accounts, HSA or FSA accounts, to pay for treatment.  There is no service fee for using credit, debit or HSA cards. Your card information is collected as part of the initial paperwork and is stored on a secure site.

On the 5th of each month, we will provide you with a “Statement for Reimbursement” through our secure online portal for your records or to submit to your insurance company if you choose to seek reimbursement.


Our therapists are considered Out-of-Network for all major insurance companies in the DC Metro Area, including Aetna, Carefirst BlueCross, BlueShield, Cigna, and United HealthCare. The majority of clients have some Out-of-Network benefits, and benefits often cover 50% or more of our fees. Couples therapy is usually not covered by insurance. We recommend you check with your insurance company.

Our practice has made the intentional decision to remain Out-of-Network providers. This allows us to focus our treatment on you, as opposed to the treatment an insurance company may decide you should receive. Insurance companies are able to dictate the length of and type of treatment you receive, and can request detailed information about the nature of your treatment that you may not wish to disclose. By maintaining status as Out-of-Network providers, we are able to keep your best interests as the focus of and approach to our treatment plan.

Out-of-Network benefits vary by insurance carrier and policy, and it can be confusing. We understand. You can learn more about how your insurance company will reimburse your therapy expenses from Four Corners by calling your Insurance Member Services Phone Number and asking the following questions:

  • Does my plan include Out-of-Network benefits?

  • If yes, what is the Out-of-Network deductible?

  • Are individual psychotherapy services (CPT code 90834) covered on my Out-of-Network benefits?

  • If yes, what percentage of the Allowed Amount is covered once my deductible is met?

  • Where do I send claims for reimbursement?

Cancellation Policy

Our practice policy requires 24 hours (1 business day) notice of cancellation. If you do not cancel and do not show up for your scheduled therapy appointment, you will be charged the full cost of the session. If you cancel in less than 24 hours but we are able to reschedule within the same week, we may waive the fee. In the case of inclement weather, we offer a “liberal leave” type of policy in which clients will not be charged if they choose not to come due to safety concerns or childcare issues. If the therapist is able to work, we offer phone or video sessions so that appointments do not have to be missed.

When I come here, it’s my time to focus inside. It feels so good to just give myself that time.
— Sandra, Silver Spring