Insurance & Fees
We believe that people should be covered by insurance for mental health services, because … isn’t that the point of insurance? We are in continuous negotiations with insurance companies to support our goal of making psychiatric services more accessible to all.
At this time, we are a preferred provider with:
A Word about Blue Cross / Blue Shield
First, we are out-of-network with Blue Shield, except when the mental-health portion of the plan is managed by Anthem.
Second, if you have coverage by an insurance company for which we are a preferred provider, you will be billed (and your insurance company has agreed to pay) negotiated rates.
Additionally, our Mental Health Services Act (MHSA) providers may not be your preferred provider and could be out of network for you.
Finally, if you are covered by the Blue Shield Federal Employee Program (BSFEP), then we will accept your insurance and submit your claims to the BSFEP as we are the preferred provider with BSFEP.
If you have coverage by an insurance company for which we are a preferred provider, you will not be billed our regular rates. Rather, your insurance company would pay us a negotiated rate.
Despite our best intentions and efforts, we are considered out-of-network for those insurance plans with whom we are not a preferred provider. We do not accept Kaiser or Medi-Cal.
If you are currently covered by insurance not listed above, we are considered an out-of-network provider and you will be charged our regular rates. We can provide billing statements for your use in requesting reimbursement from your insurance carrier.
You will likely still be responsible for some out of pocket costs, which may include deductibles, co-pays, and/or co-insurance. We recommend that you contact your insurance company to confirm coverage before making an appointment to avoid any surprises.
We may not bill for some common services that happen outside of your therapy session. Such services include: filing uncomplicated prior authorization requests; uncomplicated collaborations with your primary care doctor or your therapist; having a routine amount of communication with your pharmacist; and engaging in a reasonable amount of communication with you.
If we are spending a disproportionate amount of time on your behalf outside of the office visit, we will need to bill on a pro-rated basis at $450 per hour. Examples of such services include: excessive crisis management efforts, complicated prior authorization requests for medications for which a reasonable alternative is available on your formulary, filling out disability forms, and writing letters. We will let you know ahead of time, so that you can make an informed decision on whether or not you would like me to provide such services.
Payment is collected at the time of service by cash, credit card, or check made out to Well Coast Medical Corporation. We will need to keep a current credit card on file. This information will be stored securely in your chart.
Please note that the continued availability of our services is contingent upon your being current on your account. We will not see you if you have not paid in full for any and all services previously rendered by us.
No-Show/Late Cancellation Fees
As will be detailed in your initial scheduling call and your client agreement, we have a strict 72-hour advance notice policy for cancellations and rescheduling. If you cancel or reschedule less than 72 hours before your scheduled appointment, or otherwise no-show to your appointment, you will automatically be charged the full cash rate applicable to your appointment, regardless of your insurance coverage. We do not make exceptions to this policy, and we ask that you respect your provider’s time, as well as the opportunity lost by other clients due to late cancellations or no-shows.