Common use of Fees and Insurance Clause in Contracts

Fees and Insurance. Prior to scheduling your session, you were quoted a fee for either an individual or a conjoint session. Individual sessions and conjoint (couples’) sessions are 50 minutes in length. Fees are payable at the time that services are rendered. Please ask your therapist if you wish to discuss a written agreement that specifies an alternative payment procedure. Since your therapist is not a contracted provider for any insurance companies, your agreement with your therapist is to pay for the session rate at the time of services. Please inform your therapist if you wish to utilize your health insurance for reimbursement directly from the insurance company. Your therapist will provide you with a Super- bill in order to receive the reimbursement. You should be aware that insurance plans generally limit coverage to certain diagnosable mental conditions. You should also be aware that you are responsible for verifying and understanding the limits of your insurance coverage. Although your therapist is happy to assist your efforts to seek insurance reimbursement, we are unable to guarantee whether your insurance will provide payment for the services provided to you. Please discuss any concerns that you may have about this with your therapist. If for some reason you find that you are unable to continue paying for your therapy, you should inform your therapist. Your therapist will help you to consider any options that may be available to you at that time.

Fees and Insurance. Prior to scheduling your session, you were quoted a fee for either an individual or a conjoint session. Individual sessions and conjoint (couples’couples or family) sessions are 50 minutes in lengthlength unless otherwise agreed. Fees are payable at the time that services are rendered. Please ask your therapist if you wish to discuss a written agreement that specifies an alternative payment procedure. Since your therapist is not a contracted provider for any insurance companies, your agreement with your therapist is to pay for the session rate at the time of services. Please inform your therapist if you wish to utilize your health insurance for reimbursement directly from the insurance company. Your therapist will provide you with a Super- Super-bill in order to receive the reimbursement. You should be aware that insurance plans generally limit coverage to certain diagnosable mental conditions. You should also be aware that you are responsible for verifying and understanding the limits of your insurance coverage. Although your therapist is happy to assist your efforts to seek insurance reimbursement, we are unable to guarantee whether your insurance will provide payment for the services provided to you. Please discuss any concerns that you may have about this with your therapist. If for some reason you find that you are unable to continue paying for your therapy, you should inform your therapist. Your therapist will help you to consider any options that may be available to you at that time.. Initials:

Fees and Insurance. Prior to scheduling your session, you were quoted a The fee for either an service is $150 per 45 minutes individual or a therapy session. The fee for service is $150 per 45 minutes conjoint (marital /family) therapy session. The fee for service is $ per group therapy session. Individual sessions and conjoint (couples’marital /family) sessions are 50 approximately 45 minutes in length. Fees are payable at the time that services are rendered. Please ask your therapist if you wish to discuss a written agreement that specifies an alternative payment procedure. Since your therapist is not a contracted provider for any insurance companies, your agreement with your therapist is to pay for the session rate at the time of services. Please inform your therapist if you wish to utilize your health insurance to pay for reimbursement directly from the services. If your therapist/provider is a contracted provider for your insurance company, your therapist/provider will discuss the procedures for billing your insurance. Your therapist will provide you with a Super- bill in order to receive The amount of reimbursement and the reimbursementamount of any co-payments or deductible depends on the requirements of your specific insurance plan. You should be aware that insurance plans generally limit coverage to certain diagnosable mental conditions. You should also be aware that you are responsible for verifying and understanding the limits of your insurance coverage. Although your therapist therapist/provider is happy to assist your efforts to seek insurance reimbursement, we are unable to guarantee whether your insurance will provide payment for the services provided to you. Please discuss any questions or concerns that you may have about this with your therapist. If for some reason you find that you are unable to continue paying for your therapy, you should inform your therapist. Your therapist will help you to consider any options that may be available to you at that time.

Fees and Insurance. Prior to scheduling your session, you were quoted a The fee for either an service is $ per individual or a therapy session. The fee for service is $ per conjoint (marital /family) therapy session. The fee for service is N/A per group therapy session. Individual sessions Sessions and conjoint (couples’marital /family) sessions are 50 approximately 45 minutes in length. length Fees are payable at the time that services are rendered. Please ask your therapist if you wish to discuss a written agreement that specifies an alternative payment procedure. Since your therapist is not a contracted provider for any insurance companies, your agreement with your therapist is to pay for the session rate at the time of services. Please inform your therapist if you wish to utilize your health insurance to pay for reimbursement directly from the services. If your therapist/provider is a contracted provider for your insurance company, your therapist/provider will discuss the procedures for billing your insurance. Your therapist will provide you with a Super- bill in order to receive The amount of reimbursement and the reimbursementamount of any co-payments or deductible depends on the requirements of your specific insurance plan. You should be aware that insurance plans generally limit coverage to certain diagnosable mental conditions. You should also be aware that you are responsible for verifying and understanding the limits of your insurance coverage. Although your therapist therapist/provider is happy to assist your efforts to seek insurance reimbursement, we are unable to guarantee whether your insurance will provide payment for the services provided to you. Please discuss any questions or concerns that you may have about this with your therapist. If for some reason you find that you are unable to continue paying for your therapy, you should inform your therapist. Your therapist will help you to consider any options that may be available to you at that time.