FAQs - Larry Letich, LCSW-C

Rates, Insurance, and other FAQs

What are your rates?

My rates are $190 for the initial session lasting 60-75 minutes. Subsequent sessions, lasting 50 minutes, are $175.

I do have a sliding scale. If these fees are too great a financial burden, please let me know what you can afford on your contact form and I will consider reducing my fee significantly.

Are you an in-network provider for my insurance?

Currently I’m in the CareFirst Blue Cross/Blue Shield network, and Medicare, and I am taking a limited number of new clients in those networks.

However, starting November 1, 2025, I plan to cease being an in-network provider for either of those networks.

At that point, I will be able to continue seeing existing clients at the in-network rate for 30-90 more days. After that, I will no longer be considered an in-network provider for them.

Do you take out-of-network insurance?

I will submit insurance claims for you.

If you’re enrolled in a PPO, you may have good out-of-network coverage. Many government employees, unionized employees, and employees of large corporations have them. Look into your plan to see what your out-of-network deductibles and coverages are. If you’re well-covered, I’ll be happy to accept your co-insurance and wait for the insurance company to reimburse me for the rest.

If you’re enrolled in an HMO or in a plan with a very high deductible, unfortunately you won’t be covered at all for my services.

How often are sessions?

I usually like to see my clients once a week in the beginning. It takes that kind of regularity to develop the momentum to make real changes in yourself and your life. But after a while, every other week or even every third or fourth week can be sufficient. However, if there’s a crisis occurring where you need more support, I may sometimes recommend that we meet twice a week temporarily.

How long will therapy last? How many sessions?

It’s hard to say. Because of the great demand for my services, I am currently working on developing a time-structure for therapy, where you and I will agree on a certain number of sessions, perhaps five or ten or fifteen, to start. Once we reach that number, we’ll talk about how it’s going, what progress has been made and what problems persist, and whether you’ve gotten what you want out of therapy or wish to agree to a certain number of additional sessions.

At this stage of my life, I’m aware that I have a finite number of years to help people, and I want to help as many as I can. But as long as therapy is valuable to you, and needed, and really helps you grow, I will be there for you.

I don't live in your area. Can I still see you?

Current state licensing regulations do not permit me to offer psychotherapy outside of my geographic area. However, I offer consultation and coaching, which can be equally as effective. Unfortunately, these cannot be submitted to your insurance company for reimbursement.

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