Rates & Insurance

General Policies

You are required to keep a valid, non-expired, working credit card on file at all times for fees, co-pays and services, regardless of insurance status. If you are primarily using an HSA/FSA for payments, you will also be required to keep a secondary, backup credit card on file, as these accounts do not always have enough funds for your fees. 

All costs associated with sessions are due at the time of service and will typically be billed and collected on a weekly basis, through our electronic health record, IntakeQ, or its third-party system, PracticeQ Payments. Cash and checks will be accepted. Fees for services rendered are non-refundable.

Good Faith Estimates: The Brain Center is required by federal law to provide a good faith estimate for all clients who are uninsured, out-of-network, or opt out of using insurance benefits. Our policy is such that we will provide this estimate to you before your first scheduled appointment to ensure there are no surprises with costs related to services rendered at our practice. 

No-Show & Late-Cancellations: The appointment time for which you are scheduled is especially for you. Our clinicians have a limited caseload to ensure that there is time and energy to plan for sessions and to ensure they can be fully focused on you and your needs. The Brain Center has a 24-hour (therapy sessions) or 48-hour (testing services) cancellation policy. If you do not cancel your appointment by the appropriate time or no-show, you will automatically be billed the non-refundable fee as outlined below. You are considered a no-show at 10-minutes past your scheduled appointment time (20 minutes for testing services) with no contact. If you show past your scheduled time, you may be asked to reschedule and charged the fee. If we are able to reschedule your appointment within the same week, we will not charge you for your missed appointment. 

We will review specific situations individually regarding illness or other unpredictable challenges, and ultimately charging no-show and late-cancel fees related to therapy sessions are at your provider’s discretion. 

All no-shows and late-cancellations for testing services will forfeit the required $250 deposit and an additional $250 deposit will be required to secure another appointment time. 

Payment Plans & Collections: The Brain Center reserves the right to suspend services and/or send to collections any unpaid balances in your account for 30 days or more. 

If your card on file is declined for any reason and your account is 30 days overdue, The Brain Center will send you a letter and invoice requesting that the balance be paid in full or ask that you set up a payment plan at 30 days, 45 days, and 60 days. When your account is 60 days overdue, The Brain Center may opt to send your account to collections in an effort to recoup your owed balance. 

We no longer accept payment plans and payment is due upon receipt of invoicing. We issue the invoice and collect payment when we receive the EOB so please plan (and budget) accordingly.

If your unpaid balance is sent to collections, you will also be billed for any and all collection fees. We utilize the collections agency, GLA Collection. Note: Once a collection account is added to your credit report, your credit score could be damaged for up to seven years.

Payment Disputes: If you dispute a charge from The Brain Center, after services are rendered, information will be sent to your credit card company or bank to prove services were provided and that you agreed to pay for these services. You will remain responsible for payment for services and any dispute fees charged by your credit card company or bank and/or our electronic health record, IntakeQ, and/or its third-party system, PracticeQ Payments. We are always willing to discuss fees and charges as issues or questions arise. Disputing charges through your credit card or bank will result in immediate termination from our practice as the therapeutic relationship will be irreparable. We will refer you to the Community Mental Health Center nearest your home of record. 

Insurance

Our practice is in network with most major insurance companies as well as most Medicaid plans. Verification of benefits are not always accurate. After we receive your Explanation of Benefits (EOB), you may owe more or less than originally quoted. It is your responsibility to understand your insurance plan. If we owe you a refund, we will give you the option to keep this as a credit toward future co-pays or be issued a refund. If a refund is requested, we will issue this via original form of payment within 7-10 business days.

For in-network clients, The Brain Center will provide you with an estimated cost of services related to co-pay, co-insurance and/or deductible, which is based on the known contracted rate agreement we have with your insurance company. This is only an estimation. You will be expected to pay the estimated fees at time of service. After we receive your EOB, the estimated cost may be more or less than originally quoted. It is your responsibility to understand your insurance plan. 

Tele-behavioral health services are billed at the same rate as in office visits. Insurance companies do not always cover this service. Based on your coverage, this service will work the same as the aforementioned policies and payment is expected at time of service.


You reserve the right to opt out of insurance billing. Please notify The Brain Center of this decision and we can provide an opt-out form. You will be billed the full rate and payment will be expected at time of service. If you opt out of insurance billing, you may choose to bill insurance later, but all past sessions will not be reimbursed or re-billed to your insurance company. You will be required to complete an opt-in form before we can resume billing insurance for sessions.

You are responsible for all charges not covered by insurance, including denials and clawbacks, even after services have been terminated with us. Your diagnosis code or type of therapy may be denied by insurance and you will be responsible for all remaining fees. Insurance does not always cover couples or premarital counseling and you may be responsible for the provider’s full fee. If you schedule more than one therapy appointment on the same day, insurance will not cover both. If you are seeing more than one provider for individual therapy, insurance will likely not cover all sessions with all providers. It is important that you let us know of any additional therapy appointments you have so we can coordinate care in such a way to avoid additional out-of-pocket expenses for your behavioral health care, if possible.

If you have a secondary insurance plan, notify The Brain Center immediately. You will need to contact your secondary insurance company to complete a Coordination of Benefits (COB) in order for your provider to bill both insurance plans. Failure to do so will result in your secondary insurance not being billed and you will be responsible for the outstanding balance. We will not be able to back bill for past sessions if you did not execute a COB within 30 days of commencing care.

For out-of-network clients, The Brain Center can provide you with a superbill to file claims on your own. If superbills are requested for ongoing therapy sessions, they will be sent monthly. You will be billed our full rate and reimbursed based on your insurance plan guidelines. You will be expected to pay this fee at time of service. Your insurance company may not reimburse the full rate for services provided, and could reimburse at a Usual/Customary Cost of Reimbursement (UCR) rate that will be unknown to us. Refunds will not be provided for any difference in cost between our rate and your insurance company. 

For self-pay clients, you will be billed the full rate and payment will be expected at time of service.

Prices are guaranteed on a session-by-session basis and are reviewed annually. If our fees are expected to change, we will provide notice by December 1st with an effective date of January 1st of the following year. 

2022 Fee Schedule

Licensed Doctoral Level Providers- HSPP

  • 60-minute intake session (53-60 minutes): $200

  • 45-minute therapy session (38-52 minutes): $150

  • 60-minute therapy session (53-60 minutes): $175 

  • 75-minute therapy session: $225 

  • Neuropsychological Evaluation: $2500

  • Veteran Compensation & Pension Evaluations (Dr. Krowel only): $1000

  • Psychological Evaluations: $250 per hour 

  • Educational Consultation: $250 per hour (including travel and attendance) 

  • Forensic/Legal Services are billed on separate fee schedule

Licensed Masters Level Providers- LMHC, LCSW, LMFT

  • 60-minute intake session (53-60 minutes): $175

  • 45-minute therapy session (38-52 minutes): $150

  • 60-minute therapy session (53-60 minutes): $150 

  • 75-minute therapy session: $200 

  • Forensic/Legal Services are billed on separate fee schedule

Pre-Licensed & Associate Providers- Postdoctoral Fellow, LMHCA, LSW, LMFTA

  • 60-minute intake session (53-60 minutes): $125

  • 45-minute therapy session (38-52 minutes): $100

  • 60-minute therapy session (53-60 minutes): $125

  • 75-minute therapy session: $150

  • Forensic/Legal Services are billed on separate fee schedule

Student Interns & Providers

  • 60-minute intake session (53-60 minutes): $50

  • 45-minute therapy session (38-52 minutes): $25 

Medication Management- PMHNP-BC

  • 60-75-minute intake session: $225

  • 15-minute follow-up session: $110

  • 30-minute follow up session: $140

  • Forensic/Legal Services are billed on separate fee schedule

Clinical Email and/or Phone Correspondence

After 15 minutes, clinical phone calls and emails are billed at your provider’s normal full hourly rate, in 15-minute increments. This time is not covered by insurance and will be billed to you. This does not apply to calls/emails about canceling or rescheduling appointments.

Documentation Fees

Completion of treatment letters, correspondence with outside providers, FMLA documentation, printing/scanning/faxing of your treatment record are typically done within 10 business days and incur a cost of $25 per 15-minutes of preparation, with a 15-minute minimum. If you need this documentation to be expedited (within five business days), there will be an additional $25 fee assessed. All documentation fees are required to be paid at time of service.  

No-Show & Late-Cancellation Fees

No-show or late-cancellation of your scheduled appointment will result in the following fees: 

  • Medication management intake appointments: $150

  • Medication management follow-up and therapy intakes and appointments: $100

  • Therapy intakes and appointments with student providers: $25

  • Testing services: Forfeiture of the required $250 deposit and an additional $250 deposit will be required to secure another appointment time.

Unfortunately, these fees cannot be billed to insurance and will be your responsibility, and charged at time of no-show or late-cancellation.

Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including counseling and therapy services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including counseling and therapy services. Thus, you can ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.

Contact:
Questions? Please contact our billing department for further information.

 

If you've been putting off visiting us because healthcare costs are rising, we accept the CareCredit credit card to help you pay for care. Contact us for details.