PAYMENT
Payment is due at the time of service. I accept Health Savings Cards, Visa, Mastercard, Discover, American Express, and exact cash.
INSURANCE
I do not participate with any insurance. Families pay me directly at the time of service. Although I do not work directly with insurance, many families submit charges to their insurance company for reimbursement. Necessary paperwork is provided after each visit to your portal account. For many insurers, I may be considered an “out of network” provider. It is the patient/guarantor’s’ responsibility to contact the patient’s health insurance plan for verification. You will be responsible for working with the insurance company in order to obtain payment. Please note that I do not participate with Medicare or Medicaid. As I am a non-participating physician, you will not be able to submit claims or obtain payment from Medicare/Medicaid. In addition, Medicaid will not cover prescription costs for prescriptions written from my practice.
FEE SCHEDULE
New patient (100 min) $550
New patient (50 min-2 visits) $300 (each)
Return (25 min) $215
Return (50 min) $320
OTHER FEES
Extended Phone calls over 10 min $40/10 minutes
No Show/late cancellation Full session fee
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*Other fees available upon request, and detailed in practice policy.
GOOD FAITH ESTIMATE
You have the right to receive a “Good Faith Estimate” which is an estimate explaining how much your medical treatment will cost.
Under the law, health care providers are required to give patients who either don’t have insurance or who are not using insurance an estimate of the bill for medical treatment. Although I do not submit claims to insurance, many of my families submit claims to their insurance. If you do NOT plan to use insurance, I am happy to provide you with a good faith estimate to comply with federal guidelines. Please let me know directly if you either do not have insurance or plan to not use insurance.
• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. I am able to provide a good faith estimate for services I provide. There may be additional services that I recommend as a part of care that are scheduled or requested separately. Some of these services or goods are not provided by me and are not reflected in the good faith estimate. Examples may include (this is not an exhaustive list): medical tests, genetic testing, prescription or over the counter drugs, labs, psychological testing, care from other physicians, care from therapists, hospital fees, fees from other care provides/centers such as a partial hospital, intensive outpatient, TMS, ECT, ketamine, substance use programs or residential/wilderness based programs.
• The good faith estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. For example, more time is needed during a visit due to care needs including acuity of care, challenges during the visit that require more time (for example, taking more time to gather needed information), patient needs, or family needs including but not limited to additional time needed to answer questions.
• If you do not agree with charges and your bill is at least $400 more than your good faith estimate, federal law allows you to dispute (appeal) the bill through an agency. Please note that the agency charges a fee to dispute the bill, and the dispute process must begin within 120 calendar days of the date of the original bill.
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​• The good faith estimate is not a contract and does not require you to obtain the services identified in the good faith estimate.
• For questions or more information about your right to a Good Faith Estimate or how to appeal, visit www.cms.gov/nosurprises or call 800-985-3059.