Trauma-Informed Counseling in Montana
Specialized support for Veterans, First Responders, Couples, and Families across Montana—delivered with evidence-based care and real-world experience.
Clear pricing. Straight answers.
Therapy should not come with a guessing game about what it will cost. Here’s a straightforward look at rates, insurance, and available discounts.
Self-Pay Rates
Sliding scale options are available based on financial need. Please inquire about eligibility and available rates.
Military • Veterans • First Responders • Teachers
Discounted cash rates are available for those who serve, protect, teach, and support their communities.
Insurance & Copays
RuffStuff Counseling works with a variety of insurance plans. Copays and out-of-pocket costs vary by plan, contract, and individual benefits. Please verify your coverage, deductible, copay, and any authorization requirements with your insurance company.
- Blue Cross Blue Shield — $25/session
- Healthy Montana Kids — $20/session
- Aetna — $25/session
- Cigna — $30/session
- First Choice Health — $35/session
- Montana Health Co-op — $20/session
- PacificSource — $25/session
- Railroad Insurance — $20/session
- Medicaid — $0/session
- Medicare — copay varies by plan
- TriWest — varies by plan
Copay amounts are approximate and may change based on your specific insurance plan. Clients are responsible for verifying benefits, coverage, pre-authorizations, and applicable out-of-pocket costs. Claims are filed on your behalf; unpaid balances remain the client's responsibility.
A Few Important Policies
Cancellations with less than 24-hour notice, no-shows, or same-day cancellations incur the full session fee plus a $25 late-cancellation charge.
Rescheduling is available at no cost when requested at least 24 hours before your appointment.
Payment is due at the time of service unless prior arrangements have been made. Outstanding balances may be subject to late fees.
Self-pay and uninsured clients are entitled to receive a Good Faith Estimate of expected charges for therapy services.
Questions about cost or coverage?
A free informational consultation is a simple first step. We can talk about what you're looking for, discuss whether we're a good fit, and answer questions about payment or insurance.
Choose Your Starting Point
How It Works
- Schedule a free informational consult (a calm first conversation).
- Complete secure intake paperwork at your pace.
- Begin structured sessions shaped by your goals.
- Review progress and adjust together as needed.
*****Telehealth Therapy Across Montana*****
Business Hours
Monday: 8:00 AM–3:00 PM & 8:00 PM–11:00 PM
Tuesday: 9:00 AM–3:00 PM & 8:00 PM–11:00 PM
Wednesday: 9:00 AM–3:00 PM & 7:30 PM–11:00 PM
Thursday: 9:00 AM–3:00 PM & 8:00 PM–11:00 PM
Friday: 9:00 AM–12:00 PM & 8:00 PM–11:00 PM
Saturday: 8:00 PM–11:00 PM
