This practice is currently a contracted provider for Blue Cross Blue Shield PPO and BlueChoice PPO. This means that you will receive “in-network benefits” if you are covered by one of these insurance policies. Please bring your insurance card to your first visit, and also any time your policy changes or you are issued a new card. Most insurance plans require a “copay” or “co-insurance” paid by the patient for each service. Some will also have a deductible or amount a client must spend before receiving benefits. You must verify this amount before your visit so you have an idea of your out-of-pocket costs. You can do this by calling the number listed on your insurance card and asking them about your coverage for mental health services.

After your first session, your claim will be submitted and benefits will be verified. All payments will be due at each session. Please bring a check or cash to each appointment to cover this cost. Alternatively, you can request that your credit card, debit card, or Health Savings Account card be charged after each session.

In order to facilitate being reimbursed by your insurance company, we suggest you do the following:

• Please contact your insurance company and verify that mental health services will be covered under your plan and inquire about the exact dollar amount they will cover, as well as what your portion will be. Often they will give you a percentage that is capped at a certain dollar amount, so it is best to know the maximum amount they will pay.
• Ask if there are any limitations to number of visits or sessions lengths (i.e. 53+ minutes) that they will cover.
• Ask about whether or not “pre-certification” will be required for continued treatment, and, if applicable, when it will be required. We will call the insurance company to obtain pre-certification, if needed, but it is ultimately your responsibility to secure reimbursement. If you choose to use your insurance to cover our sessions, you are required to tell your therapist of any pre-authorizations necessary for services. If you do not inform your therapist of this, the therapist is not at fault for any denied sessions.

Using insurance requires a diagnosis. You have the right to know your diagnosis.

A minimum of 24 hours notice is required for rescheduling or canceling an appointment. Please remember to cancel or reschedule 24 hours in advance. You will be responsible for the entire fee if cancellation is less than 24 hours. The full fee for your session will be charged automatically to the credit card number on file for sessions missed without such notification. This is necessary because a time commitment is made to you and is held exclusively for you. If you are late for a session, you may lose some of that session time.

In the event that you miss multiple sessions in a row, you may lose your designated recurring appointment time. If needed, you can relinquish your recurring appointment and move to an as-available appointment schedule, but please note that regular appointments cannot be guaranteed if you are not on a recurring schedule with your therapist.

The standard meeting time for psychotherapy is 53-60 minutes. It is up to you, however, to determine the length of time of your sessions. Requests to change the 53-60 minute session needs to be discussed with the therapist in order for time to be scheduled in advance.
A $30.00 service charge will be charged for any checks returned for any reason for special handling.