Alfa Counseling and Consultation

Answers to your FAQs

Frequently Asked Questions

If you’ve never seen a counselor before, or if you’re a counseling veteran, welcome!

We are honored every time someone chooses to learn more about us.

We are a specialist-level group practice. This means that our clients come to us, or are referred by other professionals to us, because we are well-trained and focus narrowly on our specific treatment areas. Yes, everyone on our team can address anxiety and depression, but we are especially prepared to address the many ways YOUR unique symptoms could appear.

 Instead of just giving you the same cookie-cutter symptom treatment, we seek to understand how YOU experience your concerns in the big picture of your life so that we can customize your care with you. We know that symptoms don’t just affect you when you’re alone. They also impact your relationships, your job, your eating, your sleeping, your motivation, and all of those factors also impact your symptoms too. We will get to know you thoroughly and we will collaborate with you to mold your sessions to YOUR situation.

How long is a typical session?

The first session is a 60 minute meeting where I get to know you or your relationship.

Future sessions are typically 45-55 minutes long.  These are where we get down to the work of counseling.

At times, 90-120 minute sessions may be needed in order to tackle important topics in a sensitive and thorough way.

Due to busy work-life challenges, travel schedules, and other special circumstances, many couples greatly benefit from periodic Relationship Intensives.  These are typically 1/2 day or Full Day intensive sessions where we take on massive amounts of relationship work. These are carefully planned to ensure the pacing is comfortable, while you get the most out of our time together.

What forms of payment do you accept? And what about insurance?

All counseling sessions qualify for HSA/FSA account use. Payment may be made at time of service via Credit Card or Check. We do not keep account balances or send invoices for services. Cash payments must be made exactly as we do not keep cash on-hand.

We have an in-network contract with Aetna, Medical Mutual of Ohio, Anthem Blue Cross/Blue Shield and several Employee Assistance Programs for in-network services.

Some accepted EAP Plans:

  • Anthem EAP (offered by local employers like Cardinal Health, Verizon, and Costco)
  • Aetna EAP
  • BDA Morneau Sheppell (offered by local employers like Safe Lite, Spectrum, and the Columbus Dispatch group)

Out-of-network claims can be processed on your behalf with United Behavioral Health, Cigna, The Ohio State University’s (OSU) health plans (Coresource/NGS/United and Primecare).

Session receipts are also available for your records or use in obtaining out-of-network reimbursement through other insurance plans or for tax purposes.


Please contact your own insurance carrier to learn of your specific plan’s benefits. Every plan is different.

How soon can we meet?

Many times we have appointments available within 5-10 days. If you’re ready to schedule one, you can get started now by scheduling an appointment online.

What are your fees?

One-on-One Counseling

$150 for the first session

$125 for Followu Up / Working Sessions (typically 45-55 minutes) – Individuals

Extended Sessions are $125 per hour (pro-rated in 15 minute increments)

Video Chat and Coaching session rates are the same


Relationship Counseling

$175 First Session

$150 for Working Sessions (typically 45-55 minutes) – Couples


Cancellations (with less than 48 hours notice) or No-Shows are billed to your account as the full session fee. Insurance usually does not reimburse this fee.

Do you prescribe medications?


We provide professional counseling and marriage and family therapy services. We offer talk therapies such as Cognitive Behavior Therapy (CBT), Narrative Therapy, Marriage Counseling, EMDR Eye Movement Desensitization and Reprocessing, Trauma-Focused CBT, and other evidence-based techniques.

We do happily offer to coordinate your care with your medical professionals.

My relationship needs help. I'm not sure if my partner will come with me. Will you see me alone?

Yes. We do provide relationship counseling for one.

Relationship counseling is very powerful work, even if only one partner is actively involved. Think of yourselves as if you have been doing a relationship dance routine for many years (do you ever get that “here we go again” feeling in your relationship?!).  If even just one of you adds a new move to the dance, the whole routine is affected. Small changes, even by one, can make a big impact.

How often will we meet?

Our clients usually attend weekly appointments during the initial phase of therapy (about 1-2 months).

The pace tends to taper offer to twice per month, then monthly, then quarterly appointments when you and your therapist determine that your needs or your relationship has stabilized and you are actively using your new skills to maintain your progress.

Do you offer expert court testimony for my divorce or custody?

At this time, our therapists are not available for expert testimony.

We offer private, professional counseling and consultation services. We help our clients find more effective ways to cope with difficult situations. We understand that from time-to-time our clients do become involved in disputes that are emotionally taxing and energy draining. During these complex times, we protect our role as our clients’ most trusted confidante. For this reason, we are not available for expert testimony. We do not provide expert determinations related to parenting, custody, competence to stand trial, or any other evaluation for official use.

Court testimony is by court order or valid subpoena only. When necessary, we testify to facts, and we do not offer opinion on matters such as parental rights, nor offer expert testimony. Our time spent in relation to your court or administrative hearings (whether by your consent or by court order) will be billed to you at $175/hour, plus the cost of our own legal representation ($350/hour) including but not limited to preparation, commuting, waiting, testifying, consultation, and returning to our office. We also require a $1000 per occurrence appearance fee if we are required to appear outside of our office. Medical insurance does not typically reimburse these fees.

Live audio, video, or transcription of sessions is strictly prohibited, to protect the privacy of all of our clients.

Do you have a contract with Medicaid or Medicare?

At this time, no. We are not currently participating in Medicare or Medicaid’s health insurance programs. We also are not set-up to file out of network claims with Medicaid or Medicare.

We can still help though! Upon request, we will provide you a Superbill for your sessions. You may use this to submit reimbursement requests to your carrier directly.

Do you offer Evening or Weekend appointments?

Yes, we make evening hours and Saturdays available most weeks.  Of course they are the most in-demand appointment times, so you may need to start on a daytime or evening session at first. Many clients find attending appointments during the lunch hour, before work, or at the end of a workday is extremely convenient as well.

Does my insurance cover this program?

Medical insurance plans cover treatments for biologically based diagnoses. While Alfa Counseling knows that relationship enhancement can help improve overall well-being, insurance companies do not usually consider couples counseling, solely for the sake of improving your relationship, to be medically necessary. The Relationship Reconnector Program is a self-pay program offered by our founder, Jessica Wade, MA, LPCC-S


Wait, I heard that my insurance will cover Couples Counseling.

Yes! Many insurance companies typically will cover couples counseling that is used to treat an individual's symptoms of anxiety, depression, or other mental health needs* that are deemed "medically necessary" by your insurance company. Our team can offer couples counseling designed to address your unique needs.

The Relationship Reconnector program is intended to enhance your relationship, bring you to greater understanding of one another, and help you create the intimacy you crave. While most people do say they feel better when their relationship is doing well, this program not designed to treat mental health symptoms directly. 


*Please check your specific plan to be sure. Coverage varies greatly and Alfa Counseling cannot guarantee insurance coverage.