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PAYMENT


PAYMENT & FEES

Payment is due at the time of service. This includes co-pays, coinsurance, and any deductible required by your insurance. If insurance dose not cover my services, you will be billed. I accept cash, check, and credit cards (Visa, Mastercard, American Express, and Discover) for payment.  Your credit card information will be kept on file to collect these payments. 

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INITIAL EVALUATION  Fee is $375 for 60 minutes.

All new patients will be have an initial evaluation, as well as existing patients who have not been seen by me within 12 months.

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FOLLOW-UP  Fee is $220 for 30 minutes.

Review of symptoms, assessments, discuss plan and treatment goals, and supportive counseling. Refills and referrals are provided during appointment.

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Note: This is not a complete list of fees.


NON-SCHEDULED CLINICAL PHONE CALL FEE and ANCILLARY FEES

Non-scheduled phone calls with your provider regarding clinical issues cannot be billed to insurance, require your provider’s time, and will be billed directly to you with the following rates:

5 to 15 minutes: $50

16 to 30 minutes: $100

31 to 45 minutes: $150

46 to 60 minutes: $200

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Ancillary services (filling out forms, writing letters etc, calling in prescriptions

without an appointment, non-emergent telephone calls) $25 per 15 minutes

 

Payment must be made before, or at the time of, your next appointment.


INSURANCE CHARGES

Medical practitioners follow guidelines set by the American Medical Association, to "code" appointments based on characteristics of the appointment.  Each interaction is unique, and as such the length of appointment and number of symptoms addressed changes how each appointment is coded.  Due to the dynamic nature of this interaction and the billing code, I am unable to provide an accurate reimbursement at the time of service.  I am legally and ethically required to bill for all services provided.


LATE CANCELLATION, LATE SHOW, & NO SHOW.

No shows, late shows (late by more than 15 minutes), and appointments cancelled with less than 48 hours notice before the scheduled appointment are subject to a no show/late show/late cancellation fee. 

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No show/late show/late cancellation fees:

  • $100 for a 30-minute appointment

  • $150 for a 60-90 minute appointment

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Please note that insurance does not cover late cancellation, late show, and no show fees. You will be responsible for these fees. Any of the above fees must be paid prior to making a new appointment. More than three missed appointments in a year may result in a referral to an alternate prescriber.


INSURANCE AND FORMS OF PAYMENT (CREDIT CARD POLICY)

Insurance accepted:​

  • Aetna/CVS,

  • Anthem,

  • Asuris Northwest Health,

  • Blue Cross,

  • Blue Shield,

  • BridgeSpan Health Company,

  • First Choice health,

  • Global,

  • Heritage,

  • Kaiser Permanente

  • LifeWise,

  • Magellan Health,

  • Optum/United Health,

  • Premera,

  • Regence.

 

This office DOES NOT accept Medicare, Medicaid, Molina, or Apple Health at this time.  The above list of insurance payers is subject to change, please call for details.

 

Please provide full insurance information prior to your initial visit. If you have a change in insurance, please let this office know as soon as possible, so we can ensure payment. If your visit requires a prior authorization, that is your responsibility before the appointment. If the visit is not covered, then you will be responsible for the bill.

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It is your responsibility to pay the copay at the time of your visit. Credit or debit cards are the only methods of payment accepted at this time.  It is necessary to have a credit or debit card on file with this office in case of late fees or if deductibles are not met.


All charges incurred at our office are your responsibility regardless of insurance coverage. Payment is due in full at the time of each session, including private pay amounts, copays, coinsurance, and deductibles. You will be billed for any remaining balance.

We reserve the right to bill our standard fees for case coordination, clinical and legal write-ups, and phone consultations.

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If you are more than 90 days past due with a visit balance, I will do my best to reach you to proactively address payment before any future appointments are scheduled.  If you do not contact me after several attempts, your balance may be turned over to a collections service and/or we will need to terminate our treatment relationship due to non-payment.

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Note: Because your health insurance policy is a contract between you and your insurance company, you are responsible for understanding your coverage. Many insurances have deductibles, and it is your responsibility to pay your balance with us if you have not met your deductible.

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Copayments and Deductibles

All copayments, deductibles, and coinsurance must be paid at the time of service. This arrangement is part of your contract with your insurance company. Failure on our part to collect copayments, deductibles, and coinsurance from patients can be considered fraud. Failure to pay your copayment, deductible, or coinsurance at the time of service will result in a $10 dollar fee that will be added to your balance. Copayment is due at the beginning of your appointment. Coinsurance and deductible must be paid before your next appointment. Follow up appointments cannot be scheduled until your balance is paid in full.

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