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Practice Policies &  Information

What Is Sex Therapy?

Sex Therapy is a specialty within Psychotherapy and Mental Health which focuses on the treatment of concerns related to Human Sexuality and Gender.

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 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 A 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 has received extensive education, training, and clinical supervision to provide Sex Therapy to clients.

What is an LMHC?

An LMHC is a Licensed Mental Health Counselor.

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? & Is TeleHealth Covered by Insurance?

What is a Virtual Business?

Bloom Behavioral Health is operating as a virtual business. This means all therapy sessions are provided online from the comfort of your home or your work office through 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) or patient education. TeleHealth involves direct interaction between a Mental Health provider 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 alresearch suggests that Telehealth saves money when compared with traditional 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.
  • Same-level of Care: No client outcome difference was found between Telehealth appointments and face-to-face office visits.[5]
  • 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:  TeleHealth is 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, Megan quickly realized that 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, 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! 

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 hesitant about TeleHealth discovered they felt comfortable meeting online after the first session. However, TeleHealth is not an appropriate treatment method for clients with chronic suicidal or homicidal thoughts or clients that are in a crisis.  Any client that is in immediate crisis should call 911 to receive immediate help or go directly to the nearest emergency room.

TeleHealth Parity Laws & Insurance Coverage

Insurance and TeleHealth

Because Megan accepts insurance, TeleHealth coverage and fees may vary.

Insurance companies vary in TeleHealth coverage based on the member’s benefits/plan. However, due to the parity laws, most plans will cover TeleHealth.

Thus, TeleHealth services from Megan Neitling, LMHC may or may not be a covered service from your insurance provider. Clients are responsible for verifying coverage and benefits. Note: Verification of TeleHealth benefits does not guarantee coverage or payment for TeleHealth services. Clients are liable for all fees accrued from TeleHealth sessions with Megan Neitling, LMHC.

Parity is the Law 

A Law was passed called the Mental Health Parity and Addiction Equity Act in 2008. This requires health insurance plans to cover behavioral health benefits and physical health benefits equally.

Parity is About Fairness 

Americans often have more difficulty getting behavioral health treatment than they do accessing other medical care. Even those with health insurance face barriers. Insurance plans charge them more or put more restrictions on behavioral health benefits that are not in place for other medical care. Parity laws at the federal and state level are designed to change this and make health insurance plans treat individuals with behavioral health conditions fairly.

TeleHealth Parity 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.

The following is the existing Indiana legislation for TeleHealth Parity (meaning if insurance covers a service in person, the same service needs to be covered for TeleHealth services):

IC 27-8-34-6 Coverage of telemedicine services; limits; separate consent prohibited

Sec. 6. (a) A policy must provide coverage for telemedicine services in accordance with the same clinical criteria as the policy provides coverage for the same health care services delivered in person.

(b) Coverage for telemedicine services required by subsection (a) may not be subject to a dollar limit, deductible, or coinsurance requirement that is less favorable to a covered individual than the dollar limit, deductible, or coinsurance requirement that applies to the same health care services delivered to a covered individual in person.

(c) Any annual or lifetime dollar limit that applies to telemedicine services must be the same annual or lifetime dollar limit that applies in the aggregate to all items and services covered under the policy.

(d) A separate consent for telemedicine services may not be required [Note: Bloom Behavioral Health does require a TeleHealth consent form to be signed by the client(s)].

As added by P.L.185-2015, SEC.25.

http://iga.in.gov/legislative/laws/2019/ic/titles/027#27-8-34

 

What Are Your Session Fees? How long is each session?

Fees: Insurance

Megan Neitling, LMHC accepts In Network benefits. Megan is In Network with Anthem Blue Cross Blue Shield, United Health Care/Optum, and AETNA.

Fees for services are based on the contracted rate with Megan Neitling, LMHC and your Insurance provider. Please contact Megan Neitling, LMHC to discuss Insurance fees.

Fees: Out Of Network or Self Pay

Feels will vary based on your Provider for client’s that are Out Of Network of Self Pay. Please contact Bloom Behavioral Health to discuss session fees with your Provider.

Session Length

Sessions are typically 45 to 50 minutes in length.

Do You Offer Fee Reduction If I'm In Need Of Services?

Reduced Fees

Bloom Behavioral Health believes everyone deserves access to mental health care and specialized treatment.

Please contact Bloom Behavioral Health to obtain more information about a fee reductions.

 

How Do I Schedule An Appointment?

 How To Schedule 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. 

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 15 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 schedule your initial session. 

Is Therapy Confidential?

All therapy sessions are confidential. Confidentiality means that protected information about a client, including the information a client shares in therapy, cannot be disclosed to others without written consent from the client.

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.]

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.  

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Contact Bloom Behavioral Health

Clients may request an appointment via the “Contact” feature below.

Request Your Appointment Via Email

 Request appointments and schedule via email.

Complete Required Intake Paperwork

After your appointment has been held, complete the required intake paperwork.

Contact Bloom Behavioral Health

Email Bloom Behavioral Health below to discuss appointment availability. Please submit your name, email address, phone number, and Insurance provider with your message. 

Remember to check your junk/spam folder for email responses.

For Mental Health Emergencies call 911 or visit your nearest hospital. 

317-779-5607