Rates and Policies
Please take a moment to review the following information regarding fees and policies pertaining to therapy services.
Please take a moment to review the FAQs Page for additional information.
Individual Therapy Session Fee (50-Minute Session): $225
Missed Appointment / No-Show / Late Cancellation (< 24 Hours): 100% Session Fee
Rates / Fees
Full payment is required at the time of services rendered. I accept payment via credit, debit, HSA, or FSA cards and ask that you provide a credit card on file which I store in a secure, HIPAA-compliant, HITRUST CSF certified portal. Fees are automatically charged to the credit card on file on the same day the service is rendered. We discuss payment methods when beginning therapy.
Payment Policy
I am considered an out-of-network provider and do not accept insurance at this time. However, you may be eligible for reimbursement from your insurance provider if your qualifying plan includes out-of-network benefits. I am happy to provide you with a “super bill” and receipt with relevant details for you to independently request reimbursement from your insurance provider, if applicable. If you do have insurance and intend to seek reimbursement for services, I recommend that you contact your insurance company to determine if you have out-of-network benefits. I have provided a list of questions on the FAQs Page that you can ask your insurance provider when inquiring about out-of-network benefits.
Out-of-Network Billing
The full session fee is charged out-of-pocket for missed appointments or sessions canceled or rescheduled without 24-hours notice. Missed appointment fees are automatically charged to the credit card on file unless arrangements are made in advance to pay the remaining balance using another method of payment. Time will be honored if the client arrives late to the scheduled appointment, however, there is not a guarantee that a full 50-minute session will be accommodated. The full fee will still be charged in the event of late arrival unless previous arrangements have been made with me in advance of the appointment.
Missed Appointment / Late Cancellation Policy
Under the law, health care providers in the United States need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.
This Good Faith Estimate shows the costs of services that are reasonably expected for the expected services to address your mental health care needs. The estimate is based on the information known to me when we first engage in services. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if special circumstances occur. If this happens, federal law allows you to dispute the bill.
If you are billed for $400 more than the Good Faith Estimate, you have the right to dispute the bill. You may contact me at jwingate@wingatepsychologicalservices.com to let me know the billed charges are at least $400 higher than the Good Faith Estimate. You can ask me to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available.
For additional information regarding your rights pertaining to the Good Faith Estimate, please visit www.cms.gov/nosurprises.
I am more than happy to help you complete paperwork or forms, if needed and clinically appropriate. I do charge a small fee since forms and paperwork typically requires administrative time and clinical review. Some forms are lengthy and may require additional consultation with clients. There is a $25 dollar fee associated with each form to be completed which will be automatically charged to the credit card on file upon submission. You must be a current established client with me, having been seen for an initial appointment and at least two additional follow up visits within three months of the request for form completion.
Forms cannot be completed on the day presented to me unless you have scheduled a session specifically for forms completion. When you schedule your appointment, please specify that you have forms to be completed and pre-arrange to have forms sent to me at jwingate@wingatepsychologicalservices.com prior to the scheduled visit. No forms or records will be sent to a third party without a current release of authorization signed by the client.