We are in-network with Blue Cross Blue Shield (BCBS) insurance.
If you have BCBS, you can use your insurance benefits for therapy with us. We chose to work with BCBS because it is the most widely used plan in our region, which allows us to stay accessible to more people while maintaining a sustainable practice.
Insurance can make therapy more accessible, but it also comes with limitations. By working with BCBS and offering our Green Bottle model, we aim to balance accessibility, sustainability, and flexibility in how care is accessed.
We don’t believe access to therapy should be determined solely by who can afford the highest fee.
Instead of a single fixed rate, we offer a range and ask you to choose what is honest and sustainable for you. This isn’t based only on income. It includes things like financial stability, access to support, debt, generational resources, and how much breathing room you have in your life. Some people pay more. Some people pay less. That difference helps redistribute access within our community.
We are not checking your pay stubs. We are asking you to engage this process thoughtfully and with integrity.
If you choose a reduced rate, you will be asked to sign a private pay discount acknowledgment form. This is a standard, boring, necessary document that says you are receiving a discounted fee and are responsible for payment. It keeps us in alignment with legal and ethical requirements while we do something a little less traditional with pricing.
We also expect that your rate may change over time. Life shifts. Capacity shifts. We will revisit this together as needed.
This is one small way we try to practice our values, not just talk about them.
How Does This Model Work?
At Medusa Cooperative, our sliding scale is one way we try to live our values of access, fairness, and sustainability. It is not a perfect system. It depends on honesty, reflection, and community care.
Full Rate ($150-$175)
Our full rate reflects the true cost of therapy. It is what we would charge if sliding scale did not exist.
This rate is for people who have relative financial stability, access to savings, own property, or are generally able to meet their needs without ongoing crisis or fear. If you are able to spend money on wants without it threatening your ability to cover necessities, this is likely your tier.
Choosing full rate helps make lower-fee spots possible for others in our community.
Middle Tier ($100 -$125)
Our middle tier is for people who are financially stretched, but not in immediate survival mode.
You may have steady income and be able to meet your basic needs, while still working to pay down debt, build savings, or move away from paycheck-to-paycheck living. Paying full rate may feel difficult, but lower-fee care may not be the most accurate fit either.
This tier helps us hold nuance. Not everyone fits neatly at the top or bottom of the scale.
Lower Fee Tier ($50)
Our lowest-fee spots are reserved for people whose financial circumstances would otherwise make therapy inaccessible.
This may include people who are consistently worried about affording housing, food, medical care, childcare, transportation, or other basic needs. If paying for therapy at a higher rate would create real hardship, this tier is here for you.
Your place in this tier is valid. Reduced-fee care is not lesser care.
A Shared Commitment
We offer a limited number of reduced-fee spots. When people choose a lower tier than they truly need, it reduces access for others.
We are not interested in policing anyone’s finances. We are asking for thoughtful, honest self-assessment so this model can work as intended.
Sustainability Matters Too
Fair compensation allows us to sustain this work, support our households, and continue offering lower-cost and community-based care.
This model works best when we all participate with integrity.
Rates Can Change
We know financial realities shift. If your circumstances change over time, we can revisit your rate together.