We comply with all rules and requirements set forth by insurance companies. Most companies require some for mof co- payments. It is the responsibility of the patient to know the extent of his/her insurance coverage. Should your insurance claim be denied for any reason, you are responsible for direct payment of fees. All co-payments and non- insurance covered self-pay fees are due in full at the time of services. There are no exceptions to this policy.
***All co-payments for services provided to a child are the responsibility of the person bringing the child to the visit, even if you have a separation or divorce agreement that states otherwise. It is up to you to work out financial responsibility with the other parent.
Some individuals have the type of insurance coverage which reimburses them directly for our services. As with all healthcare, the patient or the designated responsible party is expected to provide payment directly to your therapist at the time of service with the insurance company providing reimbursement to the patient.
We suggest that you review your plan or contact your insurance company representative. We also recommend that you get the name of the representative who advises you. The fee for these services is at the same hourly rate as is charged for family psychotherapy.
Occasionally, a therapist is required to provide expert witness testimony on behalf of a patient in a legal proceeding. There will be a fee charged for these services based both on the actual time spent in Court and on the time necessary for preparation for testimony and travel. Advance payment is required. There is no insurance reimbursement for this service. Please discuss the fee with your individual therapist.
You may wish to have your therapist attend a meeting or conference on your or your child’s behalf. This situation arises most frequently when a parent requests that a child’s therapist attend a school conference or when a patient requests that their therapist meet with their family physician. These services are usually not billable under most insurance plans. If you think that you might require this service, we suggest that you contact your insurance company beforehand to determine if your policy provides such reimbursement. Should you request this service, your therapist will discuss charges with you.
Accounts having uncollected fees due to non-payment will follow standard collection procedures. These procedures may involve the use of a collection service for non-payment accounts and/or prosecution in the case of checks being returned. In the event any unpaid debt is turned over to our collection agency, the patient will be held liable for any and all collection fees and/or attorney fees needed to collect the debt.
MISSED APPOINTMENT AND LATE CANCELLATION FEE POLICIES:
All missed appointment and late cancellation fees must be paid in full on or before the date of your next scheduled appointment unless you have an arrangement with your therapist. Failure to do so may result in all future appointments being suspended until the fee is paid. Some therapists have their own policies regarding their fees and you should discuss this policy with your therapist.
You can notify us of appointment/cancellations calls anytime. You may also leave cancellation messages with the answering service. Time requirements apply to messages left with the service; Saturday, Sunday and Holidays do not count in the 24 hours. (For example, you must cancel an appointment scheduled for 10:00 am MONDAY by 10:00 am FRIDAY.)
Parents or guardians of minors (12 years old and younger) are entitled to information communicated by their children in psychotherapy. However, ethics require your child’s therapist to communicate only in ways that will be helpful. We require that the custodial parent be informed before a report may be released to a non-custodial parent. If a non-custodial parent wishes to have his/her child evaluated without the custodial parent’s permission, please plan to discuss this problem with your therapist before scheduling an appointment for your child.
Patients whose fees are covered by insurance should be aware that the insurance company might require a diagnosis and the information necessary to substantiate it. Occasionally, insurance companies review your therapist’s chart records. He or she will be glad to discuss the diagnosis with you. It is assumed that when you give us an insurance form, it releases your therapist to fill out the diagnosis and other portions of that form.
Your therapist is often asked to provide information or to request information from a third party. It is a common occurrence that referring physicians request an initial report and possibly a progress report from your therapist. Many insurance companies require your primary care physician to request such reports. Often by signing a contract with your insurance company, you have given written permission for your physician to receive such reports. For third party requests, you will be asked to sign a “Release of Information” form, without which your therapist cannot send records. It is your choice whether to sign the Release; please discuss this with your therapist.
We hope this information is helpful to you. Please print this information for future reference. We look forward to providing you with the highest quality standard of care in a professional, yet relaxed and comfortable atmosphere. If you have any further questions, please do not hesitate to direct them to your therapist.