Payment Information & Coverage
We understand that accessing counselling and mental health services is an important investment in your well-being. We strive to make payment and coverage information as clear and straightforward as possible.
Our team includes qualified professionals from a variety of disciplines, including Social Workers, Social Service Workers, Psychotherapists, Child and Youth Workers, Psychologists, and a Nurse Practitioner. Coverage and reimbursement depend on your insurance provider, the professional you see, the service provided, and the details of your individual benefits plan.
Many extended health benefit plans provide coverage for eligible mental health professionals, including Registered Social Workers (RSWs), Registered Psychotherapists (RPs), Psychologists, and other providers. Before your first appointment, we recommend contacting your insurance provider to confirm your coverage, eligible providers, annual limits, and any requirements for reimbursement.
Where available, we offer direct billing to select insurance providers and benefit programs to help simplify the payment process.
If you have questions about our fees, direct billing, or insurance coverage, please contact our office. We are happy to help you understand your options.
Clear Information. Accessible Care. Support When You Need It.
Non-Insured Health Benefits (NIHB)
Sheila Tallon & Associates is an NIHB-approved provider for eligible counselling services.
If you are eligible for the Non-Insured Health Benefits (NIHB) Program, you may be able to access eligible counselling services through our practice with direct billing to NIHB, subject to program requirements and approval.
NIHB provides coverage for eligible First Nations and Inuit clients for a range of health-related benefits, including certain mental health and counselling services. Coverage depends on eligibility, approved services, and current program guidelines.
Our team can assist with the billing process and help make accessing counselling services as straightforward as possible.
If you have questions about NIHB coverage or the counselling services available through our practice, please contact us. We are happy to help you understand the process.
Accessible Support. Simplified Billing. Care When You Need It.
Health Claims for Auto Insurance (HCAI)
If you have been involved in a motor vehicle accident, counselling and rehabilitation-related services may be an important part of your recovery. We are registered with Health Claims for Auto Insurance (HCAI), allowing eligible health claims to be submitted electronically to auto insurers on behalf of our clients.
Where applicable, our team can assist with the billing and claims process, helping reduce administrative steps so you can focus on your recovery and well-being.
Coverage and approval are subject to your auto insurance policy and the requirements of your insurer.
If you have questions about accessing counselling services following a motor vehicle accident, please contact us. We are happy to help you understand the process.
Less Paperwork. Easier Access. Support for Your Recovery.
Payment Methods Accepted
Fees & Policies
Fees & Insurance Coverage
Many of our counselling and psychotherapy services may be covered through extended health benefit or employee assistance plans, depending on your individual plan, the professional providing your service, and the type of service received. Coverage may include Registered Social Workers, Social Service Workers, Registered Psychotherapists, Psychologists, and Nurse Practitioners, where eligible.
We recommend contacting your benefits provider before your first appointment to confirm your coverage, eligible providers, annual limits, and any requirements for reimbursement.
Psychological & Nurse Practitioner Services
When additional assessment, consultation, or support is needed, clients may have access to our Psychologist and Nurse Practitioner. These services are separate from our counselling fees, and their rates and billing arrangements will be discussed directly with the provider.
OHIP Coverage
Counselling and psychotherapy services provided through Sheila Tallon & Associates are not covered by OHIP. However, many extended health benefits and employee assistance plans may provide coverage for eligible mental health services.
Cancellation Policy
We require at least 24 hours' notice for cancellations or rescheduling. Cancellations or missed appointments with less than 24 hours' notice may be subject to a fee of 50% of the scheduled session fee. This fee is not typically covered by insurance or benefit plans.
We understand that unexpected circumstances can arise. Please contact our office as soon as possible if you are unable to attend your appointment.
Clear Information. Understanding Your Options. Support When You Need It.