Maybe you can help him understand by pointing out that she is not being reimbursed for the $275. That is just her full fee but you already told us in another post that the allowable rate from your insurance company is only $186.20, which breaks down to a copay of $37.24 and an amount paid by insurance of $148.96. So she is not getting $275 at all. And if you are only paying $20 for a copay, then she is giving you a good deal since she isn't asking you to pay the full copay of $37.24, plus that lowers her total recoup to about $170 if you don't pay the full copay. Why is your husband so annoyed by the $275 full fee? She could charge $3,000 but it wouldn't matter. Insurance will only allow her to be reimbursed a maximum of $186.20 no matter what she charges. I say your husband shouldn't look a gift horse in the mouth. Your T is giving you a nice discount with that $20 copay.

Beyond just explaining the insurance to him in a slow voice with one syllable words, I would suggest that you consider a part time job. I know you used to work not too long ago. If you worked a few hours a week, then maybe his resentment would be assuaged and you could use those extra bucks to pay your copay and beyond.

I have done both 90 minute sessions and 50 minute. I do mostly 50 minute now. I trained myself to be more efficient and T has also helped us "get into things" more quickly. I still sometimes spring for a 90 but mostly I do 50. It can be done. So if money is tight and you don't want to work at all, then maybe you could alternate 90 and 60 minute sessions to help bring your therapy fees within your budget. Or go to every other week with individual therapy for now while you are also doing the group. You know--just little compromises here and there might save a few dollars.