Hale Mana Counseling FAQ: insurance, rates, and telehealth on Maui
Plain answers, before you call.
Hale Mana Counseling is an outpatient mental health practice on Maui offering therapy for children, teens, adults, couples, and families, plus psychiatric evaluation and medication management. Offices in Wailuku and Makawao; telehealth anywhere in Hawaiʻi. Call (808) 736-0370.
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Insurance and cost
What insurance do you accept?
Hale Mana Counseling is in network with most major Hawaiʻi plans, including HMSA, Kaiser Permanente Hawaiʻi, UHA, HMAA, Tricare, AlohaCare, UnitedHealthcare, Med-QUEST (Hawaiʻi Medicaid), and Medicare. Panels change, so we verify your specific plan before your first visit and tell you your expected copay, where you stand on your deductible, and any session limits. Two plans have extra steps: Kaiser members need an authorization from Kaiser to see us, and Tricare Prime members need a referral from their primary care manager. If we are out of network with your plan, we can provide a superbill for reimbursement. Details are on our Insurance page.
Do you accept Med-QUEST (Hawaiʻi Medicaid)?
Yes. We accept QUEST Integration plans. Send us your plan details through the Verify Insurance page or call (808) 736-0370, and we will confirm coverage and any requirements before scheduling. If your QUEST plan changes while you are in care, let us know so we can re-verify before your next visit.
How much does therapy cost without insurance?
Self-pay therapy rates at Hale Mana Counseling are $100 for a 30-minute session, $150 for a 45-minute session, $180 for a 60-minute session, $150 for couples or family therapy, and $65 for group therapy. A diagnostic evaluation with a therapist is $200. Rates are the same in person and by telehealth. You and your therapist choose the session length; most ongoing sessions are 45 or 60 minutes. The full rate table is below, and a discounted fee schedule is available for clients without adequate coverage.
How much do psychiatric services cost without insurance?
At Hale Mana Counseling, a first-time psychiatric evaluation with our PMHNP is $300. Medication management follow-up visits are $200, or $250 when the visit includes psychotherapy. Follow-up frequency is set by the PMHNP based on how you are doing, so most clients have the initial evaluation and then periodic follow-ups rather than weekly visits. Rates are the same in person and by telehealth.
Do you offer a sliding scale or reduced fees?
Yes. A discounted fee schedule based on family size and income is available for clients without coverage or with inadequate coverage. To use it, call (808) 736-0370 and ask. We will send a short form asking for household size and income, then quote you a fee from the schedule. The discount applies to self-pay therapy and psychiatric visits; insurance copays and deductibles are set by your plan.
Can I use an HSA or FSA?
Yes. Mental health care, including therapy and psychiatric medication management, is a qualified medical expense for HSA, FSA, and HRA accounts. We keep a card on file and charge it after each visit for copays, self-pay fees, and any late-cancellation fee, and that card can be an HSA or FSA card. Receipts and superbills are available on request for reimbursement or your records.
Will I get a Good Faith Estimate?
Yes. If you are uninsured or self-pay, federal law (the No Surprises Act) requires us to give you a written estimate of expected costs before treatment, and we do. The estimate lists the services we expect to provide and their self-pay prices, so you can compare it against what you are billed. If your care changes and new services are added, we update the estimate.
Getting started
What does Hale Mana Counseling do?
Hale Mana Counseling is an outpatient mental health practice on Maui. We offer individual, couples, family, child, and adolescent therapy, plus psychiatric evaluation and medication management, with offices in Wailuku and Makawao and telehealth anywhere in Hawaiʻi. The practice is led by Clinical Director Carmen Cook, LMFT. We see adults, couples, families, teens, and children ages 5 and up, in person on Maui or by telehealth statewide. See our Services page for the full list.
Is Hale Mana Counseling accepting new clients?
Yes. Our psychiatric nurse practitioner is accepting new clients for evaluations and medication management, and our therapists are scheduling new clients as availability allows. Most new therapy clients have a first appointment within one to two weeks. Call (808) 736-0370 to ask about current openings and the best clinician fit.
How do I make an appointment?
Call (808) 736-0370 or submit your insurance details through the Verify Insurance page. We confirm your coverage and expected cost first, usually within one business day, then schedule your first appointment. No referral is needed for most plans. Kaiser members should request an authorization from Kaiser before the first visit; we can walk you through that step.
Do I need a referral from my doctor?
Usually no. Most Hawaiʻi health plans do not require a primary care referral for outpatient mental health care, so you can call us directly. Two exceptions: Kaiser Permanente members need an authorization from Kaiser to see an outside provider, and Tricare Prime members need a referral from their primary care manager. We tell you exactly what your plan requires when we verify your benefits, before your first visit.
What happens at the first appointment?
Before your first visit you complete intake paperwork through our client portal. The first therapy session is mostly getting to know you: what brought you in, your history, what you want to be different, and any questions about how therapy works. A first psychiatric evaluation with our PMHNP is a longer visit that covers your history, current symptoms, and any medications before a treatment plan is discussed. Our guide to finding a therapist on Maui describes what to expect in more detail.
How long are sessions, and how often do I come?
Therapy sessions at Hale Mana Counseling are usually 45 or 60 minutes; 30-minute sessions are also available. Most clients start weekly or every other week and space visits out as things improve. Medication management follow-ups are shorter visits, and your PMHNP sets the interval based on how you are doing.
What are your hours?
Appointments are available Monday through Sunday, 8:00 AM to 8:00 PM Hawaiʻi time, in person and by telehealth. Evening and weekend openings vary by clinician, and our psychiatric nurse practitioner also offers some evening and weekend visits. Tell us what times work for you when you call and we match you with a clinician whose schedule fits.
What is your cancellation policy?
Hale Mana Counseling asks for at least 24 hours notice to cancel or reschedule an appointment. Appointments cancelled with less than 24 hours notice, or missed without notice, are charged a $75 fee to the card on file. Insurance does not cover this fee. To reschedule, call (808) 736-0370.
Locations and telehealth
Where are your offices?
Hale Mana Counseling has two Maui locations: 840 Alua St., Suite 203, Wailuku, HI 96793 (our primary office) and 81 Makawao Ave., Suites 206 and 207, Makawao, HI 96768 (upcountry). Both have free on-site parking. When you schedule, tell us which office is closer and we match you with a clinician who sees clients there.
Is there parking?
Yes. Both the Wailuku office at 840 Alua St. and the Makawao office at 81 Makawao Ave. have free on-site parking at the building. Park in the lot and come up to the suite.
Do you offer telehealth?
Yes. Hale Mana Counseling sees clients by secure video or phone anywhere in the State of Hawaiʻi, including Oʻahu, Hawaiʻi Island, Kauaʻi, Molokaʻi, and Lānaʻi. Nearly every service we offer can be done by telehealth, including therapy for children and teens, couples work, psychiatric evaluations, and medication management. Once in a while a clinician will recommend in-person care because a video visit is not the right fit clinically, and we will say so up front. In-person care is our default on Maui, and telehealth is available whenever distance or life makes coming in hard.
Do you serve Kahului, Kihei, Lahaina, and other parts of Maui?
Yes. Clients come to our Wailuku office from Kahului, Kihei, Wailea, Lahaina, and West Maui, and to our Makawao office from Pukalani, Kula, Haʻikū, Pāʻia, and the rest of Upcountry. Telehealth covers anyone on Maui who prefers not to drive.
Who we see and what we treat
Do you see children and teenagers?
Yes. We offer play and somatic-based therapy for children ages 5 to 12 at both our Wailuku and Makawao offices, adolescent counseling for ages 13 to 17, and family therapy. Parents are part of the process: they join for part of the intake and for periodic sessions along the way. Psychiatric evaluation and medication management are available for both minors and adults.
What conditions do you treat?
Anxiety and panic, depression and mood concerns, trauma and PTSD, grief and loss, addiction and recovery, ADHD, life transitions, relationship and family conflict, pregnancy and postpartum concerns, stress and burnout, and questions of self-worth, identity, and meaning. If your concern is not on this list, call and ask. Many people come in without a name for what is going on, and sorting that out is part of the first few sessions. See conditions we work with on the Services page.
What kinds of therapy do you use?
Brainspotting, EMDR, Internal Family Systems (IFS), somatic-based work, Cognitive Behavioral Therapy (CBT), attachment-focused work, and play therapy for children. Every clinician practices from a trauma-informed orientation. Not every clinician offers every approach, so if you are looking for EMDR, Brainspotting, or play therapy specifically, say so when you call and we match you with a clinician trained in it. Bios on the Team page list each clinician's focus and approach.
Do you provide psychiatric medication management?
Yes. Our psychiatric mental health nurse practitioner (PMHNP) provides comprehensive psychiatric evaluations, conservative evidence-based prescribing, and ongoing medication management coordinated directly with your therapist. Care starts with a full evaluation, then follow-up visits to adjust dosing and check on side effects. When you also see one of our therapists, the two coordinate with each other directly. Medication management is available for minors and adults, in person or by telehealth.
Does your psychiatric nurse practitioner prescribe controlled substances?
Yes, when clinically indicated. After a comprehensive psychiatric evaluation, our PMHNP prescribes the medication that fits your diagnosis, including controlled medications such as stimulants for ADHD, with ongoing monitoring at follow-up visits. Prescribing decisions are made at the evaluation, not before it.
Who are your clinicians?
Our team includes Licensed Marriage and Family Therapists (LMFT), a Licensed Mental Health Counselor (LMHC), associate mental health counselors working under the supervision of Clinical Director Carmen Cook, LMFT, and a Psychiatric Mental Health Nurse Practitioner (PMHNP). Associate counselors have completed their graduate degree and are accruing supervised hours toward licensure, with their work reviewed by the Clinical Director. Bios are on our Team page.
Do you offer couples or family therapy?
Yes. Couples therapy at Hale Mana Counseling draws on attachment, IFS, and somatic approaches. It is $150 per session for self-pay, and many insurance plans cover it; we confirm yours before the first visit. Family therapy is available for families working through conflict, transitions, or a struggling family member, including parents of a child or teen who is in therapy with us.
About the practice
Is Hale Mana Counseling part of Mana Recovery Center?
No. Hale Mana Counseling (Behavioral Health Associates of Hawaii, LLC) is a separate company from Mana Recovery, LLC. The two share a Clinical Director, Carmen Cook, LMFT, and Hale Mana offers continuing therapy and psychiatric care for people who have completed treatment elsewhere, including at Mana Recovery Center. Read more about the practice.
What does "Hale Mana" mean?
In Hawaiian, hale is a house or shelter and mana is spiritual energy, life force, or inner strength. Together the name reads as a house of strength, a place for healing, growth, and becoming.
Is my information kept private?
Yes. Scheduling, paperwork, and records are handled through SimplePractice, a HIPAA-compliant electronic health record, and telehealth visits use a HIPAA-compliant video platform. We do not share your records with anyone, including family members or other providers, without your written consent, except where the law requires it. If you want us to coordinate with your doctor or another therapist, we ask you to sign a release first. Our website privacy policy explains how information submitted through this site is handled.
Self-pay rates
Rates for clients paying without insurance. A discounted fee schedule based on family size and income is available on request. Uninsured and self-pay clients receive a written Good Faith Estimate before treatment.
| Service | Rate |
|---|---|
| Psychotherapy, 30 minutes(90832) | $100 |
| Psychotherapy, 45 minutes(90834) | $150 |
| Psychotherapy, 60 minutes(90837) | $180 |
| Family therapy (client present)(90847) | $150 |
| Group therapy(90853) | $65 |
| Diagnostic evaluation with a therapist | $200 |
| Psychiatric evaluation (first visit with our PMHNP) | $300 |
| Medication management visit | $200 |
| Medication management with psychotherapy | $250 |
Rates current as of September 2026. Late cancellation and no-show fee: $75 with less than 24 hours notice.
Insurance plans accepted
- HMSA
- Kaiser Permanente Hawaiʻi
- UHA
- HMAA
- Tricare
- AlohaCare
- UnitedHealthcare
- Med-QUEST (Hawaiʻi Medicaid, QUEST Integration plans)
- Medicare
Plan not listed? Send us your details and we will check. Coverage details are on the Insurance page.