TELL Counseling operates according to a flexible-fee pricing structure/sliding scale fee. Our fee per session (1 session is 50 minutes) is flexibly individualized based upon family/ household income. The regular fee is 20,000 yen (plus tax). Our Clinical Services Coordinator will be happy to discuss your specific fees further with you individually during the initial contact.
Sliding Scale Fee
Apart from the regular fee, we offer a sliding scale fee or counseling services adjusted to your income for those who qualify. Please note that sliding scale is applicable only for clients who pay out-of-pocket. We apply the regular fee for those whose fee is covered by a third party (insurance company, EAP, etc.).
How do I qualify for Sliding Scale Fee?
- If you wish to qualify for sliding scale fee you are required to show proof of gross annual income for all immediate family members living in your household.
- Gross income is ALL income from ALL resources (housing allowances, savings, offshore funds, trust funds, benefits, etc.) before taxes.
Acceptable Income Verification:
- Withholding Income Tax slip /源泉徴収表
- Current pay stubs (recent 2-3 months)
- A copy of recent bank account statement
How do I get started?
Please submit either one of the above Acceptable Income Verification items to TELL Counseling prior to the appointment date, or bring the document with you on the date of your initial appointment. Your therapist will discuss your specific fees further with you individually.
Service fees (including applicable co-pays, deductibles) are due at/prior to each session. We accept payment by cash, Bank Transfer, Post Office Transfer, Postal Cash Delivery (genkin kakitome), Credit Card (Visa, MasterCard, American Express, JCB and UFJ) and PayPal. For more details about our bank account information, please review the Payment Options Information Sheet.
Pre-payment can also be arranged by contacting us prior to the appointment date.
We require 24 hours notice for cancellation/re-scheduling. The full fee will be charged directly to clients for missed appointments or appointments cancelled for non-emergency reasons with less than 24 hours notice. For a first appointment, a fee will be charged if you do not show or cancel within 24 hours.
Please understand that the scheduling of an appointment exclusively reserves your therapist’s time to meet with you. If you fail to cancel an appointment in a timely manner or miss your appointment, we are unable to offer your reserved time to another patient.
Insurance companies do not pay for missed sessions.
National Health Insurance
Services at TELL Counseling are not covered by Japan National Health Insurance. However, most private insurance companies will cover the total, or a portion of the fees under outpatient mental health benefits.
Most International Private Insurance plans provide some benefits to help their plan members pay for outpatient therapy/mental health services. We strongly suggest that clients who plan to use their benefits for therapy services to contact their insurance provider to get specific information about their plan, prior to starting therapy.
It is important to remember that clients are responsible for:
- Obtaining the initial referral to your therapist (when required by your insurance plan).
- Obtaining pre-approval/ authorization for visits directly from your insurance provider (when required).
- Keeping track of your benefit limits.
- Paying all deductibles, co-pays, and other charges not covered by the insurer.
- Informing our office of any changes to your insurance coverage.
- Payment of all charges not reimbursed by your insurance carrier.
Each client is responsible for all non-reimbursed costs. Denied claims, deductibles, co-pays, missed session fees, late cancellation fees and all other non-reimbursed costs are the responsibility of the client.
TELL Counseling is a provider of CIGNA International, TriCare (ISOS), GeoBlue and HTH International Insurance.
Employee Assistance Programs (EAP)
TELL Counseling is a provider of Employee Assistance Programs (EAP) for major EAP companies such as Human Dynamic, Workplace Options, ComPsych Corporation, Shepell FGI and Peacemind-JEAP. We also have exclusive contracts with several multinational companies in Tokyo, to provide confidential counseling services for their employees.
EAP is a form of benefit whereby a company arranges for confidential treatment at no cost to their employees and direct family members. Depending on the benefit, some EAP plans may cover the full fee of between 3 to 8 face-to-face counseling sessions in our organization. To find out if your company provides mental health care EAP benefits, contact your workplace’s Human Resource Department prior to making an appointment with TELL Counseling. For more details about this benefit, please see here.