Insurances, Fees, Forms

Fees

The Following Insurance Carriers Are Accepted:

  • Premera Blue Cross
  • Regence Blue Shield
  • First Choice Health Network
  • Lifewise

Please contact your insurance carrier to see if outpatient mental health benefits are covered. You are expected to pay costs that are not covered by your insurance. On your initial visit, please make sure to bring your insurance card.

Rates for Insured Patients Billed Directly to Your Insurance Provider:

  • Initial evaluation (90 mins.) – $275
  • Follow-up therapy session with medication management (50 mins.) – average rate between $200–250
  • Follow-up therapy session without medication management (55 mins.) – $175

Rates for Those Paying Privately Without Insurance (Cash or Check Only Accepted):

  • Initial evaluation (90 mins.) – $250
  • Follow-up therapy session with or without medication management (50 mins.) – $175
  • Follow up for medication management/evaluation (25 mins.) – $125

Fees can be paid in person by personal check or cash. Debit and credit cards are accepted with a $2.00 fee for each transaction.

Charges for both insured and private paying patients (these are NOT covered by your insurance):

  • $125 fee for cancelations with less than 24 hours’ notice.
  • $25 charge for medication refill request outside of the scheduled appointment.
  • $15 charge for not paying co-pay or portion of the bill at the time of service.

Medication Refills

It is your responsibility to inform me if you are in need of a refill on your medication. This is best done during your session and will save you a $25 charge for medication refill requests outside of the appointment.

Sliding Scale

I do set aside a percentage of my practice for providing psychiatric care for lower-income individuals based on a sliding scale.

Out of Network Insurance Carrier Reimbursement

Your insurance carrier may reimburse you for payments even though I am considered an "out of network" provider. If you wish to seek reimbursement from your insurance carrier I will provide you with a signed receipt for services which contain what would reasonably be expected to be the information necessary for your insurance carrier to process your reimbursement. Clients are responsible for the disclosure of the information contained on such a receipt and for completing any relevant insurance claim form, submitting such claim, and directly seeking reimbursement from their insurance carrier.

Cancellation Policy

When you schedule an appointment, you are reserving time. Any missed appointment or cancellation with less than a 24-hour notice will be charged $120.00. Exceptions are at the discretion of IBC. Please note that insurance plans do not pay for missed appointments. These charges will be entirely your responsibility. Therapy may be discontinued with individuals with a pattern of frequent cancellations.

fm=f_95593

Forms