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Billing and Insurance |
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| We will gladly discuss fees prior to making an initial appointment and provide a detailed fees policy before your first session. As an added service to you, we accept and will file for most insurance plans and are members of many managed care provider plans. We do our best to handle insurance benefits, claims, and billing issues in a timely and accurate fashion. However, insurance policies have become increasingly complex as have errors on the part of insurance companies themselves. As a result of the complexity involved in filing insurance for you, we would like to remind you of the following: 1.) While we check your benefits for you as a courtesy, it is ultimately your responsibility to be informed, stay informed, and communicate with us about your insurance benefits. We recommend that you call your insurance company yourself before your first visit and check your mental health benefits. 2.) Your benefits are not guaranteed until claims are filed on your behalf and your insurance pays on those claims. It typically takes four to six weeks after your first session at GMH before your insurance pays on the claims and sends us a final explanation of your benefits. 3.) We are only as accurate as the information your insurance company gives us. Occasionally, insurance companies gives us inaccurate information about co-pays, deductibles, session limits, etc. We are required to charge you what they tell us to charge you. If you believe there has been an error in your benefits, it is your responsibility to address the problem with your insurance company and to pay your GMH bill in a timely fashion. GMH is not financially responsible in the event of a disagreement between what you thought your insurance would pay and what they end up paying. 4.) While we do our best to keep track of session limits, it is also your responsibility to be aware of how many sessions you insurance company allows per year, and to keep track of how many sessions you are using at GMH and with other mental health providers such as psychiatrists. Your GMH therapist has no way of knowing how many sessions per year you have used with other mental health providers, and thus, it is ultimately your responsibility to be aware of when you have used up all your sessions for the year. 5.) It is your responsibility to inform us when your insurance benefits
have changed for any reason. Many insurance policies change on a yearly
basis,
and while your insurance carrier might not change, the number of sessions
per year or your deductible could change. Please call and check your
benefits at least once a year and inform us of any changes. |
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