It is our recommendation that you contact your insurance provider prior to scheduling an appointment to verify that Inner Journey Psychiatry is in Network with your insurance provider and that you are aware of any deductibles, copays or coinsurance requirements prior to scheduling an appointment.

Inner Journey Psychiatry PLLC is currently in process of credentialing with selected insurance companies. If we are in-network with your insurance company, as a courtesy to you, we will work directly with them in an effort to collect the reimbursement allowed by your benefits. It is important that you understand your benefit coverage. For benefit coverage questions, please call the customer/member service phone number on the back of your insurance card. Although we can assist you, ultimately it is your responsibility, prior to your first appointment, to verify your plan’s limitations, deductibles and exclusions and to obtain updates as required. We will make all attempts to verify your insurance benefit coverage and obtain any necessary authorizations for you. Verification of benefit coverage is not a guarantee of claim payment. All benefits are subject to the terms and conditions outlined in your contract with your insurance company. We have no authority to make representations to you regarding coverage of items or services covered.

In compliance with health insurance contracts, Inner Journey Psychiatry PLLC requires that all co-payments be collected at the time of service. This includes payments towards coinsurance and deductibles. In some cases, the coinsurance/deductible amount collected will be an estimate, and adjustments will be made once a response is received from your insurance company regarding the claim. This may result in a credit to your account or additional charges. We do not have the option to waive co-payments, deductibles or coinsurance amounts due as that would be a violation of the contract, we have with the insurance company.

It is your responsibility to pay the full fee for services at the time they are rendered unless the Inner Journey Psychiatry PLLC is in-network with your insurance plan.

Please provide your insurance card at your initial appointment so that we may keep a copy in your record in accordance with our contract with the insurance company. It is your responsibility to provide us with updated information if your insurance company or plan changes or your coverage terminates. It is also your responsibility to notify us of any changes in address or other contact information. If the insurance information you provide to us is later determined to be inaccurate resulting in a denial of your claim, you will be responsible to pay the amount denied by your carrier. It is your responsibility to pay any charges not eligible and/or not covered by your insurance plan.

If you discontinue care for any reason, all balances will become immediately due and payable in full by you, regardless of any claim submitted. You will receive an Explanation of Benefits (EOB) from your insurance company detailing charges, amounts you are responsible for, and amounts they have paid. We do not automatically send billing statements when there is an amount due. Should you need a statement or payment itemization, please request it.

It is our policy at Inner Journey Psychiatry that insurance eligibility checks will be performed prior to appointment verification and any fees required by your insurance carrier will be collected prior to or at time of service . If the service is not provided to you either do to cancellation by you or your provider then a refund will be initiated based on Inner Journey’s cancellation policy.

Inner Journey Psychiatry utilizes third party companies for billing some insurances. Third parties that we currently utilize are the following:

Alma

Headway

We may use and disclose your protected health information for our payment purposes as well as the payment purposes of other health care providers and health plans. Payment uses and disclosures include activities conducted to obtain payment for the care provided to you or so that you can obtain reimbursement for that care from your health insurer. A list of possible payment uses and disclosures includes, but may not be limited to:

• Sharing information with your health insurer to determine whether you are eligible for coverage or whether proposed treatment is a covered service.

• Submission of a claim form to your health insurer.

• Providing supplemental information to your health insurer so that your health insurer can obtain reimbursement from another health plan under a coordination of benefits clause in your subscriber agreement.

• Mailing your bills in envelopes with our practice name and return address.

• Utilization of HIPPA compliant EFax

• Provision of a bill to a family member or other person designated as responsible for payment for services rendered to you.

• Providing medical records and other documentation to your health insurer to support the medical necessity of a health service.

• Allowing your health insurer access to your medical record for a medical necessity or quality review audit.

• Providing information to a collection agency or our attorney for purposes of securing payment of a delinquent account.

Successful treatment requires a commitment on the part of the client. It is important that you keep each appointment if possible. There are no telephone consultations. All appointments are in person or via Telehealth.

We realize that, on occasion, you may not be able to make a scheduled appointment. If you need to cancel or reschedule an appointment, please notify us via the Patient Portal or phone (leaving a voicemail) at least 24 - 48 hours prior to your scheduled appointment.

Please remember that your appointment time has been reserved for you alone. A missed or late cancelled appointment will be considered a “no-show.”

It is our policy to charge $75 for each no-show for a medication management appointment.

The no-show charge for psychotherapy appointments is $50.

Clients who have one (1) or more no-shows may be referred elsewhere for services and discharged from Inner Journey Psychiatry PLLC.

Clients who have not made contact with Inner Journey Psychiatry for greater than 90 days will be considered for discharge from the practice.

MAGELLAN HEALTH

UnitedHealthcare Shared Services (UHSS)

GEHA - UnitedHealthcare Shared Services (UHSS)

UnitedHealthcare Global

UnitedHealthCare Exchange Plans (ONEX)

Oscar

Harvard Pilgrim

Oxford

UHC Student Resources

UMR

All Savers (UHC)

Health Plans Inc

Meritain

Nippon

Allied Benefit Systems

GEHA - United Healthcare Shared Services (UHSS)

Trustmark

Trustmark Small Business Benefits

Health Scope

Christian Brothers Services

Because there are numerous Advantage plans offered, please inquire about any Medicare Advantage Plan you may be enrolled with to verify we are in network. It is strongly recommended that you contact your Advantage plan to verify that Inner Journey Psychiatry is in network with your insurance.

Optum

We will update this site as we partner with additional insurance providers.

$300.00

This is a comprehensive evaluation and review of present and past psychiatric and medical history. This appointment takes approximately 60 - 90 minutes.

$150.00 - $215.00

This type visit is a review of current symptoms, new onset psychiatric or medical issues that may arise after the initial or subsequent visits. This appointment takes approximately 20 to 30 minutes minutes.

$200.00/ hr

This type of visit will utilize evidence based treatments to improve mental health.

We will provide you with a Superbill to file with your insurance company.

Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a healthcare plan or a Federal health care program, or not seeking to file a claim with their plan., of their Good Faith Estimate. Our clients, upon request or at the time of scheduling health care services, are to receive a “Good Faith Estimate” of expected charges.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

You can ask your healthcare provider, or any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

If you receive a GFE, please make sure to save a copy or take a picture of it. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises