Frequently Asked Questions


Is this covered under insurance?

The answer is yes and no.


Couples work is never covered under insurance because marriage or relationships are NOT considered a mental illness.

You should be aware that insurance companies will need a mental illness diagnosis in order to process your claim, and that will become a part of your permanent medical record. They are also entitled to review information from your other records and can make decisions on how your case gets handled and/or approved for payment.

Although medical insurance has become a part of our lives, remember they are not dedicated to providing optimal care or continuous health; therefore it should be a minor factor in your decision to seek help.   The difference that good mental health can provide is a personal choice. In the interests of our clients’ privacy and the nature of our work, most of our therapists do not participate in insurance panels. Knowing that, if you would still like to pursue them, we will give you a statement and the forms to send in as a courtesy to you, but you will be responsible for the full payment on the day of your appointment. If we are on the panel for your insurance, you may or may not have a deductible. Your CRC therapist can provide you with a detailed statement listing the proper diagnostic and procedure codes needed for your insurance company to process your claim.

We are not currently in-network with many insurance providers. The reason? Relationships and marriages are not considered a mental illness which is necessary to get paid from insurance. That being said, they will often reimburse you IF you take a mental illness diagnosis THEN they will pay you, the client, not the therapist. We are licensed therapists, and as such, you may seek out-of-network reimbursement directly from your insurance provider. Your therapist can provide you with a detailed statement listing the proper diagnostic and procedure codes needed for your insurance company to process your claim. We would be happy to give you a statement and /or fill out the paperwork as a service to you, however, you must pay for your service and the insurance will reimburse you, not us.  


Questions to ask your insurance provider

Do I have out-of- network mental health benefits?
Is couples counseling covered? (if applicable)
Do I have a deductible and has it been met?
Am I limited to a certain number of sessions?

Do I need to have a pre-qualifying statement regarding my care?




Are there other ways to pay?

You may pay for your services by Flexible Spending Account, Health Savings Account or any credit card, checks or cash. You may have a flexible spending account (FSA) or health savings account (HSA) provided by your employer. We can provide you with an invoice to submit to your FSA or HSA account. Contact your human resources department to find out whether you qualify and to learn about tax savings or other benefits. We also accept cash, check or credit cards to assist you in your wellness.

***Due to the popularity of our Sunday appointments, all appointments for any Sundays must be paid 2 days in advance by credit card. Please call the office if you are new to our system at 716-446-9226716-446-9226.

Are there any discounts?

YES! We love when you leave the red tape behind so we have made it convenient for you to pay ahead and pay less. We have discounts that apply for becoming a member of CRC or for buying a certain number of sessions. We will be happy to go over all of that with you at your assessment appointment.


First Appointment and what can I expect?

WE want to make this as easy and comfortable as an uncomfortable situation can be.

Asking for help is tough enough, but when you are hurting, frustrated, or scared, most people are looking for someone to help them with the ”pain.”

You will have a seat in our inviting waiting area and someone will come out to get you as soon as they are ready. Please understand that sometimes we will run late due to weather conditions, phone calls made in between session, etc. However you will always get your full time with your therapist or mediator.

The first time you come in, you will be asked to fill out some paperwork. The paperwork consists of a information sheets, office polices and standards, your rights as well as and the informed consent. The informed consent is a detailed explanation of the therapist's skills and limitations. In addition, it provides the client with his/her rights. During a counseling session, the therapist and client discuss the concerns and begin to set goals. The goal of the therapist is to respect each client and help each to feel heard and understood.

Confidentiality: Every client can expect that what is said to their therapist or mediator is completely confidential. There are three exceptions to this: if the client states that s/he will hurt her/himself; if the client is going to hurt someone else; or if the therapist suspects client abuse. In all cases the therapist will discuss the situation with the client.

The therapist client relationship is based on trust. If you don’t feel comfortable with the therapist you will not be able to share what is necessary and ultimately therapy may not be a positive experience.

How long does it take?

The average counseling session is 45 minutes. You can also schedule 30, 60 or 90 depending upon your availability, the availability of your therapist and what is affordable to you. Couples counseling is usually scheduled for 90 minutes.

The number of sessions will depend upon you and your therapist, however, it is generally accepted that once you begin your journey, whether alone or together, your destination is relies on your level of commitment to your partner, yourself and the life you want.