Client Privacy and Rights Links:
Notice to all clients:
Due to increased costs and industry standards, our rates will increase as of April 1, 2009. We have been notified of changes in the insurance companies' reimbursement schedules that this increase is necessary. We know that economic times are hard right now and have attempted to be sensitive to that. Therefore, as of April 1, 2009 our rates will be as follows:
Diagnostic interview: $160.00
Individual interview (45/50 minutes): $95.00
Couples and family (45/50 minutes): $125.00
You will only be responsible for your deductible and co-pays or co-insurance rates stipulated by your insurance company. If you previously qualified for sliding scale fees, those rates are determined by the Federal Government and have not changed as yet. We appreciate your cooperation and understanding in this matter.
We will bill your insurance company if we are on their panel for mental health and/or substance abuse counseling services. If we are not, you have the option of having us bill as out of network or you will be responsible for the full fee and you may wish to submit your claims directly to your insurance carrier.
Certain services are not always covered by insurance companies such as court ordered counseling. Please understand that if you are receiving services under such a circumstance you will be required to pay the full service fee at the time of service. It is your responsibility to let your counselor know if such a circumstance exists. Any reports or court documents that need to be prepared by your counselor are done on a cash basis only. No insurance coverage is available for those services. Drug and alcohol assessments and domestic violence assessments are NOT covered by insurance.
Payment is expected at the time of service. You are responsible for your co-insurance and/or co-payment amount . If there is a deductible owing on your insurance policy you will be expected to pay the full service fee at the time of your session until the deductible is paid in full. If there is a balance owing on your bill a statement will be mailed to you. Failure to pay the bill in a timely manner as indicated on the bill may result in interest being added to your balance at the rate of 18% per annum (1.5% monthly).
Returned checks will be charged a $25.00 fee plus any bank charges or fees. Credit and debit cards are accepted by all the counselors at Green Leaves Counseling.
Missed appointments will be charged a fee set by your counselor if 24 hour advance notice is not given. Illness that prevents you from coming to your appointment will be taken into consideration. There is no insurance coverage for missed appointments.
Change of client information:
Please notify your counselor if there are any changes to your information such as address, phone number and most importantly any changes in your insurance coverage.