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.
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?