Initial Evaluation and Treatment Planning
After my review of screening forms and prior treatment records, we will meet together in the office for about an hour to begin the process of deciding how best to approach your treatment. I don’t usually prescribe medication after the first session (unless the patient is already taking medication and needs an urgent refill.) Additional studies such as laboratory, radiology, or psychological testing may be ordered.
Psychotherapy a la carte
Maybe you’re not sure if therapy is right for you, or your schedule doesn’t won’t allow for weekly sessions. You can choose to schedule each session individually, when your schedule permits. I can’t guarantee availability in any given week, but you can book out up to one month’s appointments on a rolling basis if you like. I accept CIGNA insurance for a la carte appointments, so CIGNA patients are responsible only for co-pays and deductibles.
Concierge Psychiatry Service ($1050 per month)
Psychotherapy works best when it is consistent and regular. The monthly fee includes:
- One 40-50 minute psychotherapy session at the same time each week during regular business hours
- Prescribing of all medically necessary psychiatric medications
- Coordination with your primary care physician for all medical conditions, lab studies, or other testing
- Anytime online scheduling to view, cancel or change your appointments
- Anytime online patient portal for messaging, lab results and documents
- Direct access to Dr. Grugle’s cell phone for urgent needs (in an emergency, call 911 first)
- If hospitalization is required, Dr. Grugle will coordinate the admission process and see the patient on a daily basis. (Travel and inpatient attending / consultation fees apply)
- If requested, we will handle claims for any insurance benefits you may be entitled to; any benefits we receive will be used to offset your monthly fee
There is no charge for weeks that Dr. Grugle is not in the office or in case of winter weather (if Dallas or your local Public Schools are closed.)
Additional Recurring Psychotherapy Sessions ($210)
Your progress in treatment may be enhanced by attending up to 4 sessions per week, which may be reserved in the same week on a recurring basis.
Non medically necessary services requested by the patient are not covered by insurance and are charged at a standard fee of $400 per hour (minimum $45). Examples of non-medically necessary services are completion of disability forms, FMLA forms, prescription pre-authorization appeals, completion of life insurance applications and duplication of medical records.
I am “opted out” of Medicare – Medicare will not reimburse any fees and you will not be able to file a claim.
Policy regarding patient insurance change: When a current patient loses access to a health insurance plan which Dr. Grugle accepted, due to loss of eligibility, change of insurance plan, or doctor leaving the plan, Dr. Grugle will not balance bill the patient greater than any amount applied to the patient’s deductible plus (1) the allowed amount of the previous insurance plan or (2) the amount reimbursed by the insurance company plus the patient’s previous copayment amount, whichever is greater. Applicable only to patients with incomes at or below 800% of the federal poverty level.
A current patient is one seen within the previous 24 months.
PATIENT SELF SCHEDULED A LA CARTE APPOINTMENTS:
Your appointment time is reserved for you and you alone. The full office visit fee will be assessed for broken appointments or appointments canceled with less than 24 hours advance notice, unless the cancelled appointment can be filled with another patient’s visit. Cancellation fees are not usually covered by insurance. In case of winter weather, cancellation fees will not be charged if Dallas, Richardson or the patient’s Public Schools are closed.
Concierge fees are non-refundable (no refunds for cancellations, though every effort will be made to reschedule during the same week). In case of winter weather or Dr. Grugle’s absence, $240 will be credited toward the next month’s concierge fee.
Patients may request a written estimate of their out-of-pocket expenses. Charges may vary based on the patient’s condition. The request may delay the scheduling of your care. The actual charges may differ from the amount paid by the third-party payer. The patient is personally liable for the services not paid by health insurance.
Dr. Grugle will not furnish adverse information to consumer reporting agencies regarding amounts owed by the patient if the patient finalizes a payment plan agreement within 45 days of receiving the first statement. You may be able to reduce some of your out-of-pocket costs for an out-of-network medical or health care claim that is eligible for mediation by contacting the Texas Department of Insurance at http://www.tdi.texas.gov/consumer/cpmmediation.html and 1-800-252-3439.
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