Billing, Cancellation Policy and Privacy Rights

Payment is accepted at the time of each appointment and can be made by Zelle, Cash, Check, or Credit Card, including HSA or FSA cards (credit cards will include a 3% processing fee). Please let me know your preferred payment method. Please note that missed appointments and appointments cancelled without 48-hour notice are charged full fee.   

Therapy is provided on a private-pay basis, which means I require payment in full at the time of service and do not accept reimbursement from insurance companies. I know how important finances are in making the decision to seek my services. To assist you, I offer receipts to clients seeking potential out-of-network reimbursement for the cost of therapy. It will be your responsibility to manage the mechanics of your insurance claim. I do not accept direct assignment of payment from insurance carriers. Any reimbursement will go directly to you.   

Since I do not have access to anyone’s insurance policy benefits, the best way to find out information about out-of-network benefits is to call your insurance company and ask the following questions:  

1. Does my policy include reimbursement for out of network mental     health treatment?

2. Is there a separate deductible for services that are out of network?  

3. Once a deductible is met, how much of the session fee is covered? 

Office visit 45-50 min 195.00

Office visit 55-60 min 235.00 

Family and Couples Therapy 55-60 min 235.00

Group Therapy 75 min  135.00

Extended Office Visit  Office visit rate pro rata

Other professional time (see below)  Office visit rate pro rata

Credit card payments will include a 3% processing fee.

Other professional time: Telephone consultation (over 10 minutes) and other services you request of me including participation in meetings or phone conferences with your permission, report, or letter writing.

Teletherapy sessions are available and follow the same fee structure as in-person sessions.

CANCELLATION AND LATE POLICIES – Forty-eight hours (two full business day) cancellation notice is required for appointment times reserved. Should you cancel with less than 48-hour notice, I will do my best to fill the appointment hour. If I am unable to, your account will be billed the fee for the time reserved. If you will be arriving late for your appointment, please contact me to let me know and note that the session will still end at the regularly scheduled time. 

PRIVACY RIGHTS

It is important to know that you have rights and responsibilities regarding disclosure of your Personal Health Information (PHI) by any healthcare provider or agency. Carefully read the Notice of Privacy Practices (NPP) that can be downloaded from the forms page: https://amyluzar.com/office-forms. At our first meeting, I will review the NPP with you and answer your questions.