Pricing | Pacific Child Psychiatry

Pricing/Payment

Payment is due at time of service. I accept Visa, MasterCard, Discover, and exact cash (for in-person visits).
A Note About Insurance:
I do not participate with insurance. If you wish to submit charges to your insurance company, the necessary paperwork will be provided to you at your request. You will be responsible for working with the insurance company in order to obtain payment. For many insurers, I may be considered an “out of network” provider. It is the patient/guarantor’s responsibility to contact the patient’s health insurance plan for verification. Please note that I do not participate with Medicare or Medicaid. Since I am a non-participating physician, you will not be able to submit claims or obtain payment from Medicare/Medicaid. In addition, Medicaid will not cover prescription costs for prescriptions from my practice.
Missed Appointments
Missed appointments and late cancellations (24 hours of notice) are billed at the same rate as the scheduled length of time of your visit.

You have the right to receive a “Good Faith Estimate,” which is an estimate explaining how much your medical treatment will cost.

Under the law, health care providers are required to give patients who either don’t have insurance or who are not using insurance an estimate of the bill for medical treatment. Although I do not submit claims to insurance, many of my families submit claims to their insurance. If you do NOT plan to use insurance, I am happy to provide you with a good faith estimate to comply with federal guidelines. Please let me know directly if you either do not have insurance or plan to not use insurance.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. I am able to provide a good faith estimate for services I provide. There may be additional services that I recommend as a part of care that are scheduled or requested separately. Some of these services or goods are not provided by me and are not reflected in the good faith estimate. Examples may include (this is not an exhaustive list): medical tests, genetic testing, prescription or over-the-counter drugs, labs, psychological testing, care from other physicians, care from therapists, hospital fees, fees from other care provides/centers such as a partial hospital, intensive outpatient, TMS, ECT, ketamine, substance use programs or residential/wilderness based programs.

The good faith estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. For example, if more time is needed during a visit due to care needs including acuity of care, challenges during the visit that require more time (for example, taking more time to gather needed information), patient needs, or family needs including but not limited to additional time needed to answer questions.

If you do not agree with charges and your bill is at least $400 more than your good faith estimate, federal law allows you to dispute (appeal) the bill through an agency. Please note that the agency charges a fee to dispute the bill, and the dispute process must begin within 120 calendar days of the date of the original bill.

The good faith estimate is not a contract and does not require you to obtain the services identified in the good faith estimate.

For questions or more information about your right to a Good Faith Estimate or how to appeal, visit www.cms.gov/nosurprises or call 800-985-3059.