Financials and Insurance

I am in network for these insurance companies:

I have applied for in network status for these companies but they have not yet responded:

  • CIGNA
  • HealthSmart/IHG
  • Multiplan / PHCS
  • USA MCO
  • Molina
  • Superior

If you’re a former patient of mine from Texas Health Behavioral Health, I will accept your usual co-payment as payment in full until the pending  insurance companies listed above get around to finalizing my contract, or until mid 2017 if they never do. It might help to contact them and ask that they move things along!

This is not a guarantee of coverage – please check with your insurance company to verify network participation status, deductibles and coinsurance. The health insurance market in the United States is very complex – failure to understand your insurance benefits and rights can cost you a lot.

Fair Health has a ton of resources to help you understand how to best utilize your insurance benefits.

Most of the time, I can file directly with your health insurance and you will only be responsible for co-payments and deductibles. If preferred, I can provide you with a detailed invoice or a standard insurance claim form that you can use to file a claim with your insurance company.

Prompt Payment Discount

Upon request, a 25% discount may be applied to services that are paid in full at the time of service. This discount is available without regard to insurance coverage or benefit plan, however the patient or responsible party’s health plan benefits may be reduced if a prompt pay discount is requested.

Financial Policies

The responsible party remains liable for all charges, whether or not they are covered by insurance. Please be sure you fully understand your insurance benefits and my financial policies before arriving for your first appointment.

Credit balances remaining on a patient’s account are refunded monthly, unless the responsible party requests otherwise.

Texas law requires insurance companies to pay claims within thirty days of filing. As such, it is my policy that the responsible party must pay the insurance portion of a claim if payment from the insurance company has not been received within 60 days.

Patients with overdue balances will only be seen for emergencies.

Cancellation Policy – Regular Appointments

Your appointment time is reserved for you and you alone. Broken appointments or appointments canceled with less than 48 hours advance notice will be billed to the patient at $100.00, unless the time is filled by another patient. In case of winter weather, cancellation fees will not be charged if Dallas or Richardson Public Schools are closed.

Insurance companies generally do not reimburse cancellation fees.

Payment Procedures

Payment may be made by cash, check, Discover, American Express, ATM Card, MasterCard or VISA.

Treatment Estimates

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.

Questions? Use the form below: