CURRENT RATES FOR SERVICES
Client Assessment (90791 - 45min) - $260*
Individual Session (90834 - 45min) - $260
Family Session with (90847) or without Client (90846 - 45min) - $260
**Phone Calls Lasting Beyond 15min - $75/15min
**Late Cancellation Fee (without providing 24 Hours Notice) - Full Cost of Session
*Required for all New Clients or Returning Clients who were last seen over one month ago.
**Out-of-pocket costs generally not reimbursable by insurance
**NOTE: due to the impact of COVID19, we are only able to accept contactless payment with a card on file.
CANCELLATION FEES & MISSING APPOINTMENTS
It is important you make it to all your scheduled appointments. When there are missed appointments, it can cause a lapse in care that can inhibit treatment progress and growth.
When you schedule an appointment, that time is now committed to your care. Each day's schedule is carefully planned to ensure adequate time to see clients, plan for sessions, complete reports, make calls, and all the other items that go into providing the best client care. If you don't show up, or don't provide enough cancellation notice, that time could have been scheduled for someone else who may require clinical attention, care or assessment.
Please provide 24 hours notice if you cannot keep your scheduled appointment to avoid a cancellation fee. Cancellation Fees equal the Full Cost of Services as listed above. Insurances do not cover or reimburse the cost associated with a missed session.
INSURANCE & OUT OF NETWORK BENEFITS
If you have a PPO or POS plan, you most likely have what are called Out-Of-Network (OON) benefits. These work similar to rebates where you pay for the full price at the store, then you submit a copy of your receipt and rebate form and the manufacturer sends you a rebate check or gift card. With insurance, the rebate + receipt is called an “insurance superbill.”
This means your insurance may reimburse you a percentage of any out-of-pocket costs as determined by your plan's coverage. I recommend calling your insurance provider directly to determine what your plan offers in this area- you may be surprised!
If you choose to use your Out-Of-Network benefits, I can send you the required SuperBill form for you to submit to your insurance company based on their reimbursement process.
SELF-PAY
Some people may prefer to opt out of using their insurance benefits and choose Self-Pay instead. When you use your insurance benefits, they are able to track, view and discuss any progress notes, diagnosis, and/or course of treatment as determined by your insurance provider's contract. For those seeking an extra layer of privacy, or those whose insurance plan does not offer out-of-network benefits, self-pay may be an option to pay for services.
Mallory Grimste, LCSW does not offer a Sliding Scale for Fees.
GOOD FAITH ESTIMATES NOTICE
When you schedule your Client Assessment, you will also be provided a “Good Faith Estimate” so that there are “No Surprises” about the potential financial cost of psychotherapy services.
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost at any time, though we kindly ask you to provide at least 3 business day’s notice to allow us time to prepare this for you.
Under the law, health care providers need to give clients 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 includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or 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 or call 800-985-3059.
COURT FEES
As a reminder, if you are involved in divorce or custody litigation, I do not make recommendations to the court concerning custody or parenting issues as the court can appoint these types of individuals. However, should you provide my name as a potential witness and I receive a subpoena to make an appearance at a deposition or in trial, you will be financially responsible for my court fee, which is $5,000 per day (or any part thereof) due to my inability to be accessible or available for other clients on those days.
