Fee for Service and Sliding Scale

24-hour notice is required for rescheduling or cancelling an appointment or there is a charge of the full fee.

Clients often choose to pay for mental health counseling "out of pocket," thereby avoiding the insurance system.  There are significant benefits to fee for service such as;

  1. You will not have to receive a “diagnosis” to receive counseling services.

  2. You and I will tailor your counseling to the your needs with flexibility and integration - such as integrated parenting focused sessions, family sessions, and other interventions not typically covered by insurances.

Some clients may be eligible for sliding scale services on a case by case basis.

Fees

  • My rate for intake sessions is $200

  • My rate for 45-60 minutes sessions are $160

  • My rate for supportive family sessions and couples sessions are $200

Insurance in-network and out-of-network

I take cash, checks and credit cards. I currently accept limited insurances. However, I can provide you with an invoice that can be submitted to your insurance company for potential reimbursement. 

Addelle is currently an in network provider with

  • Community Health Plan of Washington

  • Regence

  • First Choice Health

  • Premera

  • Cigna

  • Lifewise

  • Aetna

  • United

    Out-of- Network benefits are to be determined by the individual. To find out your out of network coverage, call your insurance and the following questions and information may be helpful.

  • Do I have mental health insurance benefits?  What are my out of network benefits?  

  • How much will be covered per session? Is couples/family therapy covered?

  • What is my deductible and has it been met?

  • How many sessions per year does my health insurance cover?

  • Is prior approval required from my primary care physician?

Your insurance provider may also want to know the following details:

  • My name and credentials: Tiffany Addelle Diedesch, MA, LMHC, PMH-C

  • My license number: LH 60959223

  • My NPI number: 1144649294