|
BILLING QUESTIONS AND ANSWERS
- What are Pathway’s fees?
- We are supported solely by the fees that you pay. The charges for the initial interview with a licensed therapist are $120.00. Subsequent sessions for a clinical hour of direct or indirect time with a licensed therapist are $100.00. For some insurances we are contracted to accept their fee schedule. This amount differs by insurance companies but will never be more than our original fee.
- Does Pathways accept insurance?
- We accept most insurances. Most insurance companies offer “In” and “Out” of Network benefits, but not all insurance companies offer “out of network” benefits.
- Unfortunately, we are not Medicaid/Medicare providers.
- Does Pathways send in the paperwork to my insurance company?
- We will submit all claims to your primary insurance company the 1st and 16th of each month (rather than daily as some doctor’s offices do). We expect payment from your insurance company within the next month and a half after sending the claim. If we have not received any information from your insurance company by that time frame we will call your insurance company regarding your claim and resubmit if necessary.
- What if I have no insurance?
- Each of our individual therapist will discuss fees with you at or prior to your initial visit. A therapist may give you a reduced fee. However, the therapist’s salary is based on the fees he/she collects. Therefore, therapists may not always be able to offer reduced fees if they are already seeing several clients for a reduced fee, or may not be able to greatly reduce the fees.
- What do I have to pay each visit?
- We expect you to pay your co-pay at each visit. If you owe towards your deductible for the current year we also expect you to pay the full amount of our charges until your deductible is met.
- What does “In-Network” mean?
- If we are considered “in-network” with your insurance company, that means that we are contracted with them. This will give you the best benefits available for your particular insurance plan. If we are not “In-Network” with your insurance, we’ll be happy to consider applying to be in the network.
- How will I know what my account activity is?
- At the beginning of each month we send out monthly statements to all clients with a positive balance total. If you have a zero or negative balance you will not receive a statement for that month. If you need a complete listing of your account activity, simply request this from our office staff.
|
