Frequently Asked Questions

According to the NASW Code of Ethics, Social workers should not engage in solicitation of testimonial endorsements (including solicitation of consent to use a client’s prior statement as a testimonial endorsement) from current clients or from other people who, because of their particular circumstances, are vulnerable to undue influence. NASW Code of Ethics, 2017, 4.07.b What this means is: there's a power differential in the therapeutic relationship. I would never want to use my influence over clients to solicit reviews from them and dilute or damage our relationship.

Every insurance plan is different in what it covers, so I recommend reaching out to your insurance company to better understand what is covered on your plan. It is the responsibility of the client to know their insurance policy benefits. Here are some questions I find helpful to ask your insurance provider to better understand your plan when starting therapy. Does my health insurance plan include mental health benefits? Does it cover telehealth for counseling? If so, does it require a specific platform? Do I have to meet my deductible before sessions are covered? If so, what is it and how much have I met? What is my copay or co-insurance per session? Does my plan have a limit on how many sessions per calendar year I can have? if so, what is the limit? Do I need written approval from my primary care physician in order for services to be covered? Is Megan Secrest an approved in-network provider on this plan? Can I please have a reference number for this call?

Yes, I am in network with Healthchoice of Oklahoma, Healthcare Highways, Aetna, United Healthcare, UMR, and BlueCross Blue Shield of Oklahoma. If I accept your insurance, please reach out and we can discuss the process of getting started with services. If I don't currently accept your insurance, I am happy to provide a 'super-bill' for you to provide for your insurance so you can proceed on potentially being reimbursed for the services I provide. Once you obtain a superbill, it is your responsibility to obtain reimbursement from your insurance company. Some people have been reimbursed up to 70% of the out of pocket cost by doing this. Essentially, it treats me like an out of network provider.

My services are virtual, using HIPAA compliant telehealth technology. I also offer in person appointments Wednesday-Friday at 416 W. 15th Street, Building 400A, Edmond, OK 73013. All buildings in this complex share the same address, so online directions will route you to Mercy Signal Ridge. From 15th street, you will want to turn south on Fretz at the stoplight. Take a second right into the Signal Ridge Business Park. Our building is the 3rd building on the right. It has two cobalt blue flower pots out front.

Because I work on a strictly outpatient basis, it is always my recommendation to call a local or national crisis line for assistance if you are in crisis. They can provide you with immediate help and assistance, which I may be unable to provide in the moment. The number for The National Mental Health and Suicide Crisis line is 988. You can call it anytime day or night, 365 days per year and someone will answer. If you are in immediate danger of harming yourself or someone else, please go to your nearest emergency room and ask for a crisis mental health evaluation. All ERs can make that happen.

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Confidentiality and being able to trust your provider to keep your business to themselves is vital to the foundation of the therapeutic relationship. As such, all communication between us regarding your treatment is confidential and protected by law. If I see you in person, I will not approach you in order to maintain your privacy. If you text me, I will respond but only if it is about scheduling a session. All other communication must be done by phone call or secure client portal messaging. We can email for scheduling appointments if necessary, but email is not a completely secure form of communication either. The only circumstances in which your right to confidentiality is waived is if you are having significant thoughts of harming yourself or harming other people. Even in those situations, I still will work with you to maintain as much privacy as I can, while prioritizing your safety and the safety of the community at large.

I offer in person and virtual appointments during the day from 8am-2pm Tuesday-Friday. I feel these hours help reach people who may be otherwise unable to access therapy while they are working or caring for their children. I am closed on all major holidays.

I charge $130 per 55 minute session, and $160 for the initial intake appointment, which is typically 60-90 minutes long. I offer a time-limited sliding scale for people who are uninsured.

You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.

Typical therapy sessions are about 50-55 minutes 1-2 times per week, depending on symptom acuity and your needs. The first initial intake appointment can be anywhere from 60-90 minutes long. I ask that clients consider meeting weekly initially while we are building a relationship and uncovering what is really going on. From there, we can work together to determine how frequently to meet after establishing a baseline.