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Fees & Insurance

The cost of therapy should never prevent someone from receiving services.  Merrimack River Wellness works hard to provide services accessible to all.  We accept several insurance providers (see below). If we are unable to provide services, we will provide you with contact information for other providers that may provide care that meets your financial needs.​

  • Fees are expected at the time of services.  Fees are inclusive of all services rendered, meaning that if we need to coordinate services with another provider, write psychosocial letters regarding your care, or communicate with your insurance company, there is no extra charge.  There may be some instances, as specified below, that may require an additional fee:​

  • Attendance at offsite meetings, including IEP, 504, and case management meetings may not be covered by your insurance.  The charge to attend these meetings is $200 per hour.​

FEES (effective 1/1/2024)

Initial intake/consultation:

$225 (60 minutes)

Individual session(s):

$200 (55 minutes)

$175 (45 minutes)

$125 (30 minutes)

Family session:

$225 (60 minutes)

Group sessions:

$50 (60 minutes)

$75 (90 minutes)

Adult Autism Assessment

$225 (60 minutes) intake/initial consultation

$200 (55 minutes)/per session--typically four sessions

$400 (formal report/optional)

There is a separate $200 per assessment fee for scoring, interpretation and review of any previous testing and/or other historical documents provided by the client.

Accommodation Letters

$200** per hour to review records (includes completed letter)


**not covered by insurance.


Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

  • Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit


Insurance reimbursement is available for the following providers:

  • Mass General Brigham (formerly ALLWAYS Health Partners)

  • BlueCross BlueShield

  • Harvard Pilgrim

  • Tufts Commercial and Public Plans

  • United Behavioral Health

  • Optum

  • Wellsense & Fallon (pending)


Out of Network

Merrimack River Wellness works with other insurance companies who reimburse for services rendered, often referred to as "out of network benefits."  You must check with your insurance company as to whether they offer out of network benefits.  Generally, they will reimburse 50-80% after any applicable deductible.  Merrimack River Wellness is happy to complete and provide the necessary paperwork to assist you in being reimbursed for the cost of therapy.

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