At Big Valley Therapy, we want to make insurance verification simple so you can focus on your healing. Follow these steps to confirm your coverage:


Step 1: Ask Your Insurance Provider

Call the customer service number on your insurance card and ask:

  1. Is Joshua Otani, LMFT at Big Valley Therapy in-network?

    • Provider Name: Joshua Otani, LMFT

    • Practice Name: Big Valley Therapy

    • Address: 59 W 9000 S, Ste 4, Sandy, Utah 84070

    • Phone Number: (801) 901-0559

    • NPI: 1528617800

  2. Coverage for therapy sessions:

    • Individual therapy (CPT 90837 – 50 min)

    • Couples therapy (CPT 90847 – 50 min)

  3. In-person vs telehealth coverage

    • Confirm telehealth is reimbursed at the same rate

    • Ask about any location restrictions (some plans only cover in-state telehealth)

  4. Copay, coinsurance, or deductible amounts

  5. Number of sessions allowed per year

  6. Any referral or pre-authorization requirements

  7. Out-of-network coverage if you plan to submit a superbill

Tip: Write down the representative’s name, reference number, and date of your call to keep a record.


Step 2: Share Your Insurance Information With Us

After confirming coverage, please email us:

  • clear photo of the front and back of your insurance card

  • Your full first(s) and last name(s)

  • Your date of birth(s)

  • Your home address(es)

  • Your contact information [phone #(s) and email(s)]

We will verify your benefits and provide a clear summary, including:

  • Copay / coinsurance / deductible

  • Session limits

  • Telehealth vs in-person coverage


Step 3: Payment Options

  • We provide superbills for self-pay reimbursement

  • We accept bishop or clergy payment

  • If you’re unsure whether to use insurance or self-pay, we can guide you


Step 4: Schedule a Session

Once your benefits are verified, we can schedule your free 20-minute Growth Pathway session to discuss your goals and next steps in therapy.

Session Rates (Self-Pay)

Our self-pay rates reflect the time, preparation, and clinical expertise involved in each session:

  • Individual Therapy: $175 per session

  • Couples Therapy: $200 per session

Intake / First Sessions:

  • Individual Intake: $225

  • Couples Intake: $250


Insurance Clients

For insurance, rates and out-of-pocket costs depend on your specific plan. Your copay, coinsurance, and deductible determine your financial responsibility. We verify benefits before your first session so you know exactly what your plan covers.

Insurance sessions are scheduled for 53 minutes, in line with insurance requirements for time-based psychotherapy codes (90837 and 90847). Self-pay sessions are generally 50 minutes.

  • Copays: Collected after the session.

  • Coinsurance: Determined after insurance processes the claim; you pay any remaining balance.

  • Deductibles: Your responsibility until met; coverage typically increases after deductible is reached.

All amounts are based on your insurance plan, not your self-pay rate.

We submit claims on your behalf after each session. Only time actually provided is billed. Processing times vary by insurer.

Coverage depends on your plan. Some insurers cover only telehealth, some only in-person, and some both. We verify benefits before your first session.

We are credentialed with:
Aetna, PEHP, Regence Blue Cross Blue Shield of Utah, Select Health, United Health Care

Notes:

  • We do not accept Medicare.

  • Coverage, copays, and deductibles vary by plan.

  • All benefits must be confirmed with your insurance company.

Yes:

  • HSA/FSA for therapy sessions

  • Bishop or clergy pay for church-supported counseling

  • Private pay for all other sessions

We value your time and ours. Please arrive on time for your scheduled session so you receive the full benefit and other clients are not delayed.

Cancellations and missed appointments:

  • At least 24 hours’ notice is required if you need to cancel or reschedule.

  • Late cancellations or no-shows may be charged the full session fee.

  • Insurance does not cover missed-session fees.

  • Each client receives one late-cancel/no-show waiver per calendar year. After that, fees apply fairly and consistently.

Late arrivals:

  • Sessions will end at the scheduled time if you arrive late; lost time cannot be added to future appointments.

  • Self-pay clients are responsible for the full session fee, even if late, to protect your reserved time.

  • Insurance clients will be billed for the actual time provided, and balance billing for missed time is typically not allowed under insurance contracts.

Why this policy matters:

  • Having a clear, written policy protects both you and your therapist.

  • This policy is reviewed during your initial visit along with informed consent, financial responsibility, and billing procedures.

  • Respecting scheduled times ensures fairness to all clients and supports continuity of care.

📧 Email: josh@bigvalleytherapy.com
📞 Phone: 801‑901‑0559

We are happy to answer any questions about insurance, session fees, or payment options.

No, Big Valley Therapy does not offer payment plans or a sliding fee scale. Session fees are consistent for all clients.