What Is Sex Therapy?
Megan Neitling, LMHC will use Sex Therapy to help you discuss and find solutions to the issues or concerns you are experiencing. Clients will collaborate with Megan to create a specific treatment plan to meet your goals. Megan may refer you to other specialists to assist in your treatment.
Treatment often involves the use of sex education, sexual or relational enhancement techniques, books, video, photographs, diagrams, or models to assist a clients during their treatment. Often, during Sex Therapy, homework will be assigned for the individual or partner(s) to use at home. Homework can vary in the level of communication and touch, either with oneself or with their partner(s).
No physical contact will occur, on site or off site, between clients and Megan. There is no nudity involved in treatment.
No video or audio recording will be permitted during Sex Therapy or Psychotherapy sessions.
What Is An AASECT Certified Sex Therapist?
A Sex Therapist is a term for a Mental Health Clinician that specializes, or practices, within the field of Human Sexuality and Gender. Megan is an AASECT Certified Sex Therapist which means they have received extensive education, training, and clinical supervision from AASECT to provide Sex Therapy to clients. AASECT is the only accrediting body for Sex Therapists in the USA.
There are only two states in the USA (Florida & California) that regulate which professionals can call themselves Sex Therapists. In those states, to use the term Sex Therapists, the professional must be AASECT certified. Unfortunately, Indiana does not regulate the term Sex Therapy. Thus, there may be other professionals that call themselves a Sex Therapist or say they are providing Sex Therapy. However, not all of them will have completed the same level of education or training to become certified. You can find other AASECT certified Sex Therapists at www.AASECT.com
What is an LMHC?
Megan has received extensive education, training, and clinical supervision to provide therapy.
Megan attended a Master’s program in Clinical Mental Health Counseling that was accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP).
In addition to her Master’s degree coursework, she completed a 100 hours of practicum, 600 hours of internship, and 300 hours of advanced internship in Mental Health Counseling while receiving clinical supervision.
Megan then took, and passed, the National Counselor Examination (NCE) which is administered by the National Board of Certified Counselors (NBCC) in order to graduate with her Masters in Clinical Mental Health Counseling.
Megan earned 3000 hours of supervised clinical practice and accrued 100 hours of clinical supervision.
In order to become fully and indepdently licensed, Megan took the National Mental Health Counselor Examination (NMHCE) as administered by the National Board of Certified Counselors (NBCC).
What is Video TeleHealth?
Bloom Behavioral Health is a virtual business meaning all counseling services by Megan Neitling, LMHC, CST are provided via TeleHealth.
All therapy sessions are held virtually from the comfort of your home or your work office using a secure and HIPAA compliant video platform.
What is TeleHealth?
TeleHealth can involve providing a range of services including Mental Health Therapy (individual therapy, marital therapy, group therapy), Sex Therapy, or Sexualities Education. TeleHealth involves direct interaction between a Mental Health professional and the client through a virtual video platform.
What are the Benefits to TeleHealth?
- Scheduling Flexibility: If you’re too busy to maintain traditional in-person therapy session, TeleHealth is the solution! If adding one more appointment on the calendar feels too overwhelming or just impossible, virtual therapy alleviates that barrier to care.
- Convenience & Better Client Care: With Telehealth, there is no more commuting to the office, no more rushing around in traffic, no need to take a longer lunch break to squeeze in your therapy session, no need to arrange a babysitter or childcare, and no time wasted sitting in a waiting room.
- Cost Reduction: Nearly all research suggests that Telehealth saves money when compared with traditional in-person approaches to Mental Health care. For clients, this often means lower transportation costs, less time missed from work, and less money spent on child care expenses.
- Increased Privacy: TeleHealth eliminates the possibility of someone you know seeing you in the waiting area of therapy office or leaving the office.
- Provides a Safe Space: TeleHealth allows therapy to be conducted in any private location (home office, private work office, bedroom, car, living room, etc.) When therapy is utilized in your own space, clients report feeling more comfortable which improves their ability to discuss and process sensitive or difficult topics.
- Access to Specialized Care: TeleHealth can be conducted from anywhere within the state of Indiana. People over the state of Indiana have access to Mental Health Therapy, Sex Therapy, and Sexualities Education. Since there are so few Certified Sex Therapists in the state, more folx can receive treatment.
- Same-level of Care: No client outcome difference was found between Telehealth appointments and face-to-face office visits.
- Marriage and Couples Counseling Benefits: You and your partner/spouse no longer need to be in the same physical space for therapy! Partners can be in their own personal spaces (work, home, office, etc.) and call in to the same HIPAA compliant TeleHealth Video session. Virtual Therapy is great for Couples that want to work on their relationship but can’t be together in the same space.
- Accessibility: Anyone living in the state of Indiana can become a client at Bloom Behavioral Health with virtual services. TeleHealth is also an option for people experiencing limitations with reliable transportation or access to specialized care. TeleHealth allows accessibility for people with chronic illnesses or physical disabilities. Accommodations to TeleHealth can be made for clients that are hearing impaired, visually impaired, or deaf.
Is Virtual Therapy Effective?
Research has extensively studied the effectiveness of video-based therapy. There is no difference between online therapy versus traditional in-person therapy. When Megan began providing TeleHealth, they quickly realized clients were more comfortable during video sessions than they were in the office. Virtual therapy allows clients to feel safe and secure from the comfort of their own home or office, which often increases the rate of the client’s emotional growth. This personal growth often results in meeting their therapy goals! Also, when sessions are held from your home, your pets get to join the session to provide emotional support!
How Much Does a Virtual TeleHealth Session Cost?
TeleHealth provides clients the same clinical skills, clinical knowledge, resources, and expertise as an in-person session provides. Thus, TeleHealth sessions are the same rates an in-person AASECT Certified Sex Therapist and Doctoral level clinician charges in Indiana. My rates are $200 for the initial session and $175 for all subsequent sessions, unless the client chooses a reduced rate.
Is Video TeleHealth Secure? What Can I Do If I’m Concerned About Privacy?
Bloom Behavioral Health assures clients that all video sessions are held to the highest possible level of confidentiality. For this reason, Bloom Behavioral Health uses a secure video platform that protects clients information. Once your appointment is scheduled, a unique video link is sent to you. This link will open the TeleHealth Video session that is HIPPA compliant, meaning that the video platform has the highest standard of protection in the healthcare field.
To protect privacy, Bloom Behavioral Health recommends having a private space available to use during your TeleHealth sessions. Other options to help increase your privacy are: 1) use a headset instead of the phone or computer speakers, 2) utilize a white noise machine outside of the room you’re in [If you have an Amazon Alexa or Google Home, ask it to “play white noise”], 3) Sit outside if the weather is nice or sit inside your car.
How Do I Know If TeleHealth is Not Right For Me?
That is truly a personal choice to determine if TeleHealth is the right fit for you. However, Bloom Behavioral Health asks clients to try TeleHealth Video for the first session. Then, if we decide it is not a good fit, referrals can be made to in-person therapists. Many clients that were initially hesitant about TeleHealth discovered they felt comfortable having therapy online and found it more convenient for their schedules. However, TeleHealth is not an appropriate treatment method for clients with chronic suicidal or homicidal thoughts or clients that are in a crisis situation. Any client that is in immediate crisis should call 911 to receive immediate help or go directly to the nearest emergency room
TeleHealth in Indiana
An Executive order was made in Indiana that stated all licensed mental health professionals within the State of Indiana are permitted to conduct their work via TeleHealth. Executive Order 20-05.
As added by P.L.185-2015, SEC.25.
What Are Your Business Hours?
*Monday, *Tuesday, *Wednesday 10am to 4pm
Thursday 10am to 4pm
*Indicates a rotating schedule. Clients will be notified 4-6 weeks in advance which days of the week are available for scheduling services.
Please Note: 3:00 pm is the latest available session time each business day.
Do you Offer Evening or Weekend Appointments?
No. Bloom Behavioral Health only provides day-time appointments for clients. Just like scheduling with other Specialists, clients may need to accommodate their schedules to receive Sex Therapy or Sexualities Education.
How Long Is Each Session?
Sessions are 50 minutes in length.
Extended sessions times are available upon request for an additional pro-rated fee.
*Please Note: Some Out Of Network Insurance Benefits do not reimburse for extended therapy sessions (60+ minutes), and as such, it is typically considered an out-of-pocket expense.
What Are Your Session Rates?
Rate Per Session
$210 per 50-minute Intake Session*
$185 per 50-minute Therapy Session
Clients pay the full session rate at the time of service.
*For Individual therapy, the 1st session will be charged at the Intake Rate.
*For Couples/Partners therapy, 3 sessions will be charged at the Intake Rate. The 1st session is the couples/partners Intake. The 2nd and 3rd sessions are the Individual Intakes. The 4th session, and subsequent sessions, will be charged at the Standard Rate.
Bloom Behavioral Health’s rates are commensurate to AASECT Certified Sex Therapists, Sexuality Educators, and Doctoral level clinicians. Bloom Behavioral Health is unable accept rates below the usual, customary, and reasonable (UCR) rate for these specialty mental health services.
What Payment Methods Do You Accept?
Bloom Behavioral Health accepts Credit or Debit (Visa, MasterCard, American Express, Discover), Health Savings Account (HSA), and Flexible Spending Account (FSA).
Past Due Invoices & Scheduling
Please note, clients will not be able to schedule a new session, or receive any additional sessions, until their balance is paid in full.
If the client has an unpaid invoice 24 hours prior to an existing scheduled session, Bloom Behavioral Health reserves the right to cancel the session until the invoice is paid in full.
What Is Your Cancellation Policy?
Cancellation and No Show Policy
Cancel or reschedule your appointment at least 24 hours in advance.
Client reminders are sent out 48 hours prior to your session via email and/or text. It is preferred that you give as much notice as possible (more than 24 hours notice) to Bloom Behavioral Health if you need to cancel/reschedule a session so that Bloom Behavioral Health can offer the session time to another client in need.
Clients must manage the scheduling, cancelling, and rescheduling of appointments using the Simple Practice Client Portal. If there is less than 24 hours notice to cancel, you must email Megan directly.
Late Cancellations and No-Show Fees
Cancellations, no-shows, or re-scheduled sessions will be charged the full session rate if notice is not received at least 24 hours in advance.
This policy is necessary because a time commitment is made, and held, exclusively for your treatment.
How Do I Request An Appointment?
How To Request An Appointment
Send an appointment request via email using the “Contact” feature below.
Expecting A Response from Bloom Behavioral Health
Please check your spam or junk folder to ensure you don’t miss an email response.
Megan will reply to your email during business hours Monday through Thursday 10am to 4pm. *It may take 3-5 business days to receive a response.
Scheduling Via Phone
If you prefer to have a phone consult to schedule your first appointment, please provide day & time options for a phone call in your email request. This call will be schedule via email as Providers are not readily available for phone calls during, or outside of, business hours.
*Please note: Phone calls do not typically exceed 20 minutes. Phone calls will consist of the following: discuss how Bloom Behavioral Health can assist you, review session fees, review accepted payment methods, and discuss the required intake paperwork. Then, we will discuss how to schedule your initial session.
Is Therapy Confidential?
However, the parent or guardian of minor clients will be able to obtain certain information about the client.
There are exceptions where the clinician must break confidentiality:
1. Suspicion and/or knowledge about any form of child, elder, or dependent adult abuse. [This includes currently or previous viewing, storing, taking, or distributing child pornography or engaging in non-consensual sexual activity.]
2. Threatening to harm other person(s).
3. Threatening to harm yourself.
4. If there is perceived danger to the health of others if the client is a carrier of a communicable disease. This means, if the client engages repeatedly in a behavior that transmits a dangerous communicable disease or indicates a careless disregard for the transmission of the disease to others [defined by by the state department IC 4-22-b].
If any of these exceptions to confidentially occur while a client is in treatment or requesting treatment, confidentiality will be broken and appropriate measures will be taken to ensure the safety of the client and others.
Do You Accept Insurance?
No, We Do Not Accept Insurance.
Bloom Behavioral Health does not work with, or bill, insurance companies directly. Megan Neitling, LMHC, CST is a Specialist in Sex Therapy and Sexualities Education. Session fees are due in full at the time of service.
Bloom Behavioral Health believes you should know the 10 potential risks to using Insurance for therapy. So, if you are curious to know more about the reasons we do not accept insurance, please read below.
1) As an AASECT Certified Sex Therapist, Megan does not wish to label or diagnose sexual concerns, gender, or mental health as “dysfunctional” or “pathological”. If Megan were to accept insurance, or submit claims directly to insurance, a mental health diagnosis or sexual health diagnosis is required.
2) Often, when couples seek Sex Therapy, they are trying to improve their sexual health or sexual relationship. In order to use Insurance, one person in the relationship must have a “diagnosis” or “disorder”. In Couples Therapy, when there is a “diagnosis”, the Insurance requires the therapist to treat the “diagnosis”, not any other concerns. In Sex Therapy, we are not just treating a “diagnosis”.
3) Any “diagnosis” given would stay in your medical history indefinitely as a pre-existing condition. A mental health or sexual health diagnosis may impact the ability to obtain life insurance, obtain health insurance, or to get certain jobs that require background checks or medical records.
4) Insurance companies can limit the number of therapy sessions you are allowed to receive and the length of time each sessions lasts.
5) Insurance companies can determine the type, or method, of treatment that is “covered” to treat the “diagnosis”. The insurance companies preferred treatment method is directly tied to the diagnosis provided. This limits the therapists’ ability to provide specialized care to the client. Megan wants to work directly with the client(s) to determine the best treatment options and not have insurance, or a third party, involved in the process.
6) TeleHealth is not covered by all insurance plans. Thus, insurance companies may not allow all clients to have access specialized therapy services.
7) Your insurance company determines what treatment is “medically necessary”. This means Sex Therapy, Couples Therapy, or Sexualities Education may not be a covered “medically necessary” service.
8) You likely have a deductible that needs to be met before the insurance company will pay for some of the session fee. This means you will likely be paying out of pocket anyway for Therapy until your deductible is paid for the year.
9) If an Insurance service claim is denied, the client is responsible for the fee of the service. Folx can be surprised when they receive a large bill for hundreds of dollars after having 4-6 sessions. This occurs because Insurance takes 3-6+ weeks to process a single claim and return the payment information to the Therapist. Haven’t you received a large, or unexpected, medical bill in the mail weeks or months after going to the doctor? The same principal applies here with Therapy and backed up Insurance claims. However, being self-pay allows clients to pay at the time of service and know exactly what you will pay for each session.
10) When you use insurance, there are increased risks to the confidentiality of your clinical notes, treatment plan, diagnosis, and therapy records. The insurance company will have access to your entire therapy record, if requested. Since Sex Therapy and Sexualities Education is sensitive and private in nature, Megan has chosen to not accept insurance to protect the client’s confidentiality.
Do You Provide SuperBills?
Knowing the risks to submitting claims to insurance, clients can request a Superbill. Clients will submit the SuperBill directly to their health insurance company. If the client has Out-Of-Network Insurance benefits, they may be reimbursed directly from the insurance company for a percentage of the session fee, based on what their plan allows, if applicable.
Your Out Of Network Benefits may require a deductible to paid before any reimbursement begins. Once your deductible is paid in full, the insurance company may reimburse a rate different than Bloom Behavioral Health’s full session rate, which is called the “allowable amount”. Some companies reimburse at 80-100% of mental health services, which means the client will pay for any portion of the session fee your insurer does not reimburse. Contact your insurance company by phone to ask about your Out of Network benefits.
When you call to verify your Out of Network benefits with your insurance carrier, you may want to ask:
- How much is my Out of Network deductible? How much of the Out of Network deductible have I met this year?
- Verify, do you cover CPT codes 90847 and 90837?
- What percentage, or dollar amount, is allowed for reimbursement per session for the CPT codes 90847 (Couples/Family Therapy) and 90837 (Individual Therapy)?
- Do you reimburse for the diagnostic code Z63 (Relational Distress with a Spouse/Partner)?
- Do you reimburse for TeleHealth sessions (Modifier 95: TeleHealth or Location 02: TeleHealth)?
- Is there a limit to how many sessions are allowed per year?
- Do I need a prior authorization, or a referral, from my Primary Care Physician or other professional?
- What is the process of submitting the Superbill to obtain Out of Network reimbursement from my Insurance?
Diagnostic Codes for Out Of Network Benefits
Some services, including Couples/Partners Therapy, Sex Therapy, or TeleHealth may not be covered by health insurance as a “medically necessary” service when claiming Out Of Network Benefits. Additionally, insurance may not cover the DSM Diagnostic Code Z63.0 (“Z63.0: Counseling for Marital and Partner Problems”). Most often, it is the Diagnostic Code that causes a claim to be rejected or denied for reimbursement. Bloom Behavioral Health will only use a diagnosis that fits the client’s presenting clinical concerns. Bloom Behavioral Health will not engage in unethical or fraudulent insurance billing. As a result, services may be considered an out-of-pocket health-care expense and may not eligible for reimbursement from your Insurance company. Clients are liable to pay all session fees at the time of service.
Contact Bloom Behavioral Health
Communicate Via Email
Communicate with Megan via email to schedule a phone consultation and discuss next steps.
Complete Required Intake Paperwork
Contact Bloom Behavioral Health
Email Megan using the form below to discuss availability and scheduling.
Please submit your name, email address, phone number, and type of therapy with your message.
Remember to check your junk/spam folder for email responses 3-5 business days after your request is submitted.
For Mental Health Emergencies Call 911 Or Visit Your Nearest Hospital
Contact Megan Neitling, LMHC, CST:
*To request therapy services, email Megan using the “contact” feature on the website.
Monday through Thursday 10am to 4pm
All therapy sessions are held online/virtually using secure TeleHealth Video.