Billing

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We welcome self-pay patients and are currently in-network with:
– Aetna —Aetna Better Health of Virginia (Medicaid) —Humana Healthy Horizons of Virginia (Medicaid) —Optum (United Healthcare) – Sentara (commercial and Medicaid plans)

We welcome self-pay patients, including those without insurance or whose plans we do not accept. Please note: we are unable to accept patients as self-pay that have coverage with any of the above listed insurance carriers. Our self-pay fee schedule is as follows:

  • Our comprehensive psychiatric evaluation is the starting point for your care. Your initial appointment allows our psychiatrist to gain a clear understanding of your mental health through in-depth discussion, diagnostic assessment, and review of your medical and psychiatric history.

  • Follow-up appointments combine medication management with individual therapy to provide well-rounded, personalized care. These sessions include ongoing monitoring of your medication and offer a supportive space to explore your thoughts, emotions, and experiences as part of your overall treatment.

Self-Pay Policy

Payment for self-pay services is due in full prior to your appointment. Appointments may be canceled if payment is not received. We accept credit and debit cards.

By choosing the self-pay option, you acknowledge responsibility for the full cost of your care. Our practice does not bill insurance on your behalf, but we are happy to provide a detailed statement (also known as a “superbill”) upon request so that you may work with your insurance provider to see if they will provide out-of-network reimbursement, however, we cannot guarantee reimbursement. For questions about your insurance coverage, please contact your insurance provider directly.

We are unable to accept patients as self-pay that have coverage with any insurance carriers that we are in-network with (please see list above).

Rates are subject to change, with advance notice provided. Thank you for trusting us with your care.

Cancellation & No-Show Policy

We understand that unexpected situations can arise, and plans may need to change. If you need to cancel or reschedule your appointment, we kindly ask that you provide at least 48 hours’ notice. You may call our office at any time to cancel or reschedule; leaving a voicemail is perfectly acceptable.

Providing timely notice allows us to better manage our schedule and offer that time to another patient who may be waiting for care.

Fee Policy for Missed (No-Show) Appointments:

  • A $150 fee will be charged for missed initial psychiatric evaluations/initiation of care appointments without 48 hours’ notice.

  • We do not charge for the first missed follow-up appointment (please note: this does not apply to initial psychiatric evaluations/initiation of care appointments), understanding that occasional issues can arise. However, after the first occurrence, any missed follow-up appointments without 48 hours’ notice will result in a $75 fee, based on a 12-month rolling period.

Late Arrival Policy

Appointments require sufficient time for safe and effective care. Patients who log in late may be marked as a no-show and subject to fees:

  • For initial psychiatric evaluations, patients who arrive more than 20 minutes late will be considered a no-show.

  • For follow-up appointments, patients who arrive more than 15 minutes late will be considered a no-show.

*These fees are not covered by insurance and will be billed directly to you.

Repeated missed appointments or late cancellations may result in termination from the clinic. In such cases, you will receive a probationary notice via email before any final action is taken. This policy is in place to support consistent, timely care for all patients.

We appreciate your understanding and cooperation.