Fees and Insurance

Dr. Milbourne's fee is $150 for one 45-minute individual, family or couples therapy session.  Except for very brief reports or messages, phone therapy, report writing, or other professional services will be charged at the rate of $200 an hour.  Payment in the form of cash or check is requested at the start of each session.  For a 3% convenience fee, credit cards will be accepted. Please see below.

A payment schedule may be arranged if you have difficulty affording services as well as a sliding scale.


Dr. Milbourne participates in many insurance plans, including Independence Blue Cross/Personal Choice and Keystone Healthplan East, Aetna Tricare, Optum, and Medicare. Many health insurance policies cover the services of psychology.  Nevertheless, the reimbursement varies considerably from company to company and from policy to policy.  Also, most policies have annual deductibles, copayments, or other limits on benefits.  Read your policy carefully and be aware of what is or is not covered.  You may wish to call the insurance help desk and ask about your benefits. 

Billing Service

If you plan to utilize your mental health insurance, please contact my billing manager Amanda Pryce and enter your insurance card via the therapy portal.  She can be reached at Independent Office Solutions toll free 1-800-763-0467 ext. 103 (or 717-IOS-4545 if outside of Pennsylvania) and can verify your benefits (fax 800-467-4018).  Her email is ios.amandap@gmail.com and mailing address is PO Box 33, Lititz, PA 17543-0033.

All co-pays and deductibles are requested prior to treatment via cash, check or credit card (please see below).

Missed Appointments

We value your time as well as our own; please help us serve you better by keeping scheduled appointments.  Unless cancelled at least 24 hours in advance our policy is to charge for missed appointments at a rate of $50.


About Ivy Pay

Ivy Pay is a HIPAA-secure, PCI-protected payment service that allows you to pay your therapist by saving a credit, debit, HSA or FSA card on-file. Once you've added your card to Ivy Pay once, charges can be quickly and easily processed. There is a 3% convenience fee for using all cards.

Safety & Security

Ivy uses advanced security systems and data encryption to protect both clients and therapists, as well as safeguard against unauthorized transactions and access to personal or financial information. 

Information is encrypted, stored and protected on secure servers. Industry standard SSL encryption is active on every page of the Ivy Pay system. This is the same encryption technology used by banks and brokerages to safeguard financial information. 

How It Works

1. Your therapist will send you an invite text via Ivy Pay’s secure system - this text will come from our system's phone number: (415) 403-2489.

2. Tap on the link in your invite text to be taken to the secure ‘Add Card’ form.

3. Scroll down on the ‘Add Card’ form, add your card details, and tap ‘Save & Pay.’ Your card will be encrypted and stored on our secure servers, and will be charged for that day's session.

4. Moving forward, you will receive a text confirmation any time your therapist uses Ivy Pay to charge your card on-file. This will appear in the same thread as your original invite text. (Tip: if you ever need to update your card details, just tap on the invite link and follow Steps 1-3 above.)