Billing & Insurance
Sessions and Payment
Individual Sessions (50 mins) - $125
Couples/Family Sessions (80 mins) - $150
Group Sessions (60-90 mins) - $75
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In the beginning, it is most helpful to have weekly sessions. Towards the end of therapy, it is possible to meet less frequently. Although there are many exceptions, some individuals may make desired changes within 6-12 sessions, while some couples may make desired changes within 15-20 sessions. As always, our goal is to work with clientele and determine the most effective path.
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Full payment is due at the beginning of each session. Cash (exact change) or checks only. It is appreciated if you make your check out in advance (to Speakeasy Counseling, LLC) to save valuable time in the session.
Insurance Information
In order for you to file claims with your insurance we are required to provide a diagnosis. Not all diagnoses are covered under insurance and when a diagnosis is given it becomes part of your health records. Please be advised that when you file with insurance you may be placing yourself at risk of being diagnosed with a preexisting condition. This may present challenges for future healthcare coverage. There is also the risk that you could be turned down for life insurance or a job due to your preexisting condition. Consequently, some clients elect not to claim on insurance. If your insurance company does cover your services with us it will be on an out of network basis. Please check with your insurance company as to whether they require preauthorization prior to mental health services commencing. Insurance companies commonly reimburse mental health services at a lower rate than other medical services. Since benefits are so varied, it is wise to review your own policy carefully for coverage and for any limitations and exclusions. The statements given to you have all the information that should be necessary for insurance claims; you are responsible for payment of your bill and filing of any insurance claims. Attach the Billing Statement from, Speakeasy Counseling, LLC, to the claim form from your insurance company and submit it directly to your insurance carrier and reimbursement may be made directly to you by the insurance company.
Cancellation
Policy
If unable to keep an appointment, kindly give me 24 hours notice; otherwise charges will be made for the full clinical hour that was reserved for you. Fees for missed appointments are not covered by insurance. It is to your advantage to keep all your appointments in order to maximize the benefits of therapy. If you are late, we will meet only for the remainder of the scheduled session.
Please inform us if any problem arises during the course of therapy affecting your ability to make timely payments. For both legal and ethical reasons, we avoid getting in to a creditor-debtor relationship with our clients, and therefore we do not continue rendering services if there is a balance on a client’s account.
Confidentiality & HIPPA
Our goal is to provide you with the best care possible. Other professionals are consulted when clinically advisable after a release is obtained from you. The confidentiality of the work that is done with you as a patient/client is upheld at all times. However, there are certain exceptions to this rule:
1. Threat to yourself or others. If I believe that you are a clear and imminent danger to yourself or another person, I may notify appropriate others to prevent that occurrence. This includes the obligation to warn any person who may be placed in imminent danger by your actions.
2. If mandated by court of law. If you are involved in any court/legal proceedings I may be subpoenaed to testify regardless of your consent. If I am required to appear in court my fees to you will be 4 X my regular rate as listed above.
3. Abuse. If I am made aware of potential or actual occurrence of abuse or neglect I will be required to report this to the Department of Social Services.
4. Insurance claims. Information about your treatment and diagnosis may be shared with your insurance company in order to pay claims.
5. Supervision. I have a policy of supervision to help guarantee quality of service to you. Consequently, your case may be discussed with other counselors in a supervisory group. However, identifying information is not disclosed.
6. If it becomes necessary to contact an attorney or a collection agency, then your name, identifying information about how to reach you, and amount owed becomes available to these agents.
7. Disclosure of records. Any request for the disclosure of your medical records that is requested by a third party (other than the examples listed above) will require written authorization signed by you pursuant to a format that is in compliance with Health Information Portability and Accountability Act (HIPAA) regulation.
8. Bounced checks or uncollectible credit card payments. In the case of uncollectible bounced checks or credit card payments, please note that a collection agency or small claims court may be hired and this may result in the release of your name, the nature of services provided, and the amount owed.
Termination of Services
In initial meetings, we will assess whether our services can be of benefit to you. We do not accept clients we do not believe we can help. In addition, if at any point during psychotherapy we assess that the treatment is not effective in helping you reach your therapeutic goals or if your needs are outside of our scope of competence, we will discuss it with you and, if appropriate, end treatment. As appropriate, we will provide you referrals to other professionals to contact. If at any time you find you are not comfortable working with any of our clinicians, please let us know. We will offer to provide you with names of other qualified professionals whose services you might prefer. We support all termination for whatever reason. If you want to decrease the frequency of sessions, take a break, or end therapy, please give advance notice, preferably a few weeks ahead of time. However, if you are not able to give advance notice, we will still do our best to help you leave well.