Insurance and Fees

Payment Policy

Your health insurance may cover all or part of the fees and we will work with you to facilitate the exchange of information with your insurance company for payment. However, you are ultimately responsible for all fees incurred. Full payment of all office visit charges or insurance co-payments are due in full at the time of service. You should contact your Health Insurance Company or consult with us for any additional information. In circumstances of extreme financial hardship, we may be willing to negotiate a fee adjustment or installment payment plan. We accept cash, checks, MasterCard, Visa, American Express, and a variety of HSA programs and Debit Card issuers. Court involved or Professional Board ordered evaluation/assessments can be paid with cash or credit card ONLY.

Standard fees and charges:

• Initial Clinical Evaluation – $185.00
• 20-30 minutes individual therapy session – $80.00
• 45-50 minutes individual therapy session – $125.00
• 45-50 minutes family/couple therapy session – $135.00
• 75-80 minutes individual therapy session – $175.00
• OWI/Substance Abuse Evaluation – $120.00
• Comprehensive Behavioral Health Assessment – $250.00
• Comprehensive Behavioral Health Assessment (Board) – $350.00

We also charge $125 per hour for other professional services you may need, though we will break down the hourly cost if we work for periods of less than one hour. Other services include report writing, telephone conversations lasting longer than 5 minutes, consulting with other professionals with your permission, preparation of records or treatment summaries, and the time spent performing any other service you may request of us. If you become involved in legal proceedings that require our participation, you will be expected to pay for all of our professional time, including preparation and transportation costs and time, even if we are called to testify by another party. It is the policy of the office to bill each client on a weekly to bi-weekly basis for any outstanding balance. An invoice is considered overdue if we have received no payment within a 30-day period. Accounts, which are 90 days overdue, may be turned over to a collection agency.

Insurance

In order for us to set realistic treatment goals and priorities, it is important to evaluate what resources you have available to pay for your treatment. If you have a health insurance policy, it will usually provide some coverage for mental health treatment. We will fill out forms and provide you with whatever assistance we can in helping you receive the benefits to which you are entitled; however, you (not your insurance company) are responsible for full payment of our fees. It is very important that you find out exactly what mental health services your insurance policy covers. Navigating through insurance benefits can be challenging so please feel free to contact us with any questions about insurance and we will do our best to provide or obtain an answer for you.

You should also be aware that your contract with your health insurance company requires that we provide them with information relevant to the services that we provide to you. If you are seeking reimbursement for services under your health insurance policy, you will be required to sign an authorization that allows us to provide such information. We are required to provide a clinical diagnosis. Sometimes, we will be requested to provide additional clinical information such as treatment plans or summaries, or copies of your entire Clinical Record. This may require additional authorization. If you refuse such authorization, the insurance company can deny your claims and you will be responsible for paying for services yourself. In such situations, we will make every effort to release only the minimum information about you that is necessary for the purpose requested. This information will become part of the insurance company files and will probably be stored in a computer. Though all insurance companies claim to keep such information confidential, we have no control over what they do with it once it is in their hands. In some cases, they may share the information with a national medical information databank. We will provide you with a copy of any report we submit, if you request it. Once we have all of the information about your insurance coverage, we will discuss what we can expect to accomplish with the benefits that are available and what will happen if they run out before you feel ready to end your sessions. It is important to remember that you always have the right to pay for our services yourself to avoid the problems described above.