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Counseling Fees and Payment Policies

View TELL’s counseling fees for in-person and teletherapy sessions, various payment methods, and our insurance acceptance.

Table of Contents

Fee-For-Service (FFS)

TELL Counseling operates according to a flexible-fee pricing structure or sliding scale fee. Our fee per 50-minute session is flexibly designed to accommodate family/household income. The standard fee is 20,000 yen (plus tax).

Our Coordinators will be happy to discuss your specific fees further with you:

Tokyo or other areas: clinical.assist@telljp.com

Okinawa: okinawa.intake@telljp.com

Please note: On occasion, your therapist may schedule the initial family or couple session at 75 minutes, and the fee is 30,000 yen (plus tax). Subsequent family and couple 50-minute sessions are then charged at the standard rate of 20,000 yen (plus tax). These fees are also designed to accommodate TELL’s sliding scale fee structure.

Sliding Scale Fee

TELL Counseling Uses a sliding scale system based on family/ household income. The scale applies to households that have a monthly income of under 700,000 yen. For clients who earn under a certain income level, TELL will provide subsidized sessions. Please note that the sliding scale is applicable only to clients who pay out-of-pocket. We charge the regular fee for clients whose fee is covered by a third party (insurance company, EAP, etc.).

How do I get started?

  • If you wish to qualify for a sliding scale fee you are required to show proof of gross annual income for all immediate family members living in your household prior to being assigned to a therapist.

  • Gross income is ALL income from ALL resources (housing allowances, savings, offshore funds, trust funds, benefits, etc.) before taxes.

  • Please email the documents to the respective email below depending on your location:
    Tokyo or other areas – clinical.assist@telljp.com
    Okinawa – clinical.manager@telljp.com

  • All provided documents will be kept confidential with the utmost care.

  • You will be notified of your sliding scale rate prior to your first appointment and will be provided with paperwork to sign confirming the rate.


Acceptable Income Verification:

  • Withholding Income Tax slip /源泉徴収表
  • Current pay stubs (recent 2-3 months)
  • A copy of a recent bank account statement

Payment Method

Service fees (including applicable co-pays and deductibles) are due at/prior to each session. We accept payment by Cash (for in-person clients only), Bank Transfer, Post Office Transfer, Postal Cash Delivery (genkin kakitome), Credit Card (Visa, MasterCard, American Express, and UFJ), and PayPal. 

For more details about our bank account information, please review the Payment Options Information Sheet.

For Teletherapy (distance) counseling, clients’ credit cards will be charged on the day of the session if payment has not been received prior to that.

Cancellation Policy

We require 24 hours notice for cancellation/rescheduling. The full fee will be charged directly to clients for missed appointments or appointments canceled for non-emergency reasons with less than 24 hours notice. For a first appointment, a fee will still be charged if you do not show up 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, so the client will be responsible for paying this charge if the appointment is canceled within less than 24 hours.

National Health Insurance

Services at TELL Counseling are not covered by the Japan National Health Insurance.

Private Insurance

International Private Insurance plans ( TriCare, AFSPA, etc.) provide some benefits to help their members pay for outpatient therapy/mental health services. TriCare Prime offers direct billing for their clients; however, all other clients are responsible for paying fees upfront and then submitting payment of receipt to insurance providers for reimbursement. (For clients with Tricare Select, our billing department can submit the claims to Tricare for the client as a courtesy). Accordingly, we strongly recommend that clients 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 their 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.


Please note that all clients are 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 TriCare (ISOS) and AFSPA Insurances.

Employee Assistance Programs (EAP)

TELL Counseling is a provider of Employee Assistance Programs (EAP) for major EAP companies such as 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, EAP plans cover the full fee for face-to-face or Teletherapy counseling sessions at TELL. 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.