Financial Information


Payment can be made by check, cash, or credit card.

I am an out-of-network provider. I do not participate in any insurance plans. If you have an in-network only or HMO plan, you will not be reimbursed for sessions. However, many plans do reimburse a portion of the fee for out-of-network mental health services. To find out what your plan allows call the telephone number for Behavioral Health on the back of your insurance card.

 

Each month I will give you a statement that you can submit to your insurance for reimbursement. I will help you if needed to navigate communication with your insurance company.

 

Please note that I have a 24 hour cancellation policy.

Daniel Scrafford, L.C.S.W
 

INFORMED CONSENT TO TREATMENT

ACKNOWLEDGEMENT OF HAVING READ AND BEEN INFORMED OF PAYMENTS AND CANCELLATION POLICIES.

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Here are some questions to ask the Behavioral Health division of your insurance plan:

  • May I see an out-of-network mental health provider?  If yes, then ask the following:

  • Do I need a pre-authorization from the insurance company or my primary care provider in advance?

  • What is my deductible, and have I met it yet?

  • How many mental health sessions per calendar year does my plan cover?

  • How much does my plan cover for an out-of-network mental health provider?

  • How do I receive reimbursement for therapy with an out-of-network provider?

  • What is the coverage amount per session?