If there is a need, fees can sometimes be adjusted. Also if life circumstances change during the course of treatment, a change in fee can be negotiated.
Please note that I do not participate in any private insurance plans, and I have opted out of participation in Medicare. At the end of each month you will receive a statement with the information necessary for reimbursement by your insurance company if you have out-of-network benefits. I am happy to help you to secure reimbursement as needed.