Lol, that’s a short question with a long answer! (Read about it here.) In short, Dr. Martinez initially accepted insurance when she started Envision Wellness.  But as her practice grew, she spent increasing hours on the phone trying to get payment from the insurance companies, had to justify her treatment decisions to insurance representatives who weren’t clinical professionals, and disclose clients’ confidential information to be reimbursed for her work.  It was a mess and it didn’t sit well with her. She realized working for insurance companies restricted her ability to provide the best quality of care to people.
It was a difficult decision, but she ultimately chose people’s well being.
Having worked in managed-care (insurance) driven practices before, Dr. Szentpaly and Dr. Martinez-Mesa also share Dr. Martinez’s belief that treatment decisions and confidentiality should remain between the therapist and client, and have continued to follow a private pay model of service.