Fees &
Insurance

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Insurance

Potentiality solutions is a self-pay practice, which means we do not accept insurance. We understand that most people want to use their insurance. However, due to the insurance companies’ poor reimbursement rates, and the constraints they impose on how services should be rendered, we chose a self-pay model. This allows us to accept a limited number of clients at a time, so we can focus on providing high quality services without compromising your privacy by having to share records, and without restrictions such as: restricting the number of sessions, or having to submit a diagnosis in order to provide services. We believe in preventative care, and that most people go through life’s ups and downs, and require support without necessarily meeting criteria for a certain diagnosis.

If you have out-of-network benefits, we can provide you with a “superbill” upon request to submit to your insurance company for potential reimbursement, depending on your plan benefits.

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

  • 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.

  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your healthcare provider, and 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. Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit http://www.cms.gov/nosurprises or call (800) 368-1019.

Appointments and Cancellations

You are responsible for attending each appointment and agree to adhere to the following policy: If you cannot keep the scheduled appointment, we ask you to please notify our office to cancel or reschedule the appointment within 24 hours of the scheduled appointment time. Late cancellations and missed sessions will be charged at 50% of your current session fee, any missed or late cancellations thereafter will be 100% of your current session fee. If you cancel or reschedule more than once, we may re-evaluate your needs, desires, and motivations for services at this time.

Fees

Payment is due at the time of service. Acceptable forms of payment are: exact-amount cash, check (insufficient-funds checks will be returned upon full payment of the original amount plus $10 for any returned check), or credit/debit card.

Individual Therapy

$300 Initial session/consultation (60 minutes)

$200 Follow-up therapy session (50 minutes)

Testing Services

$2500 Autism Spectrum Assessment

$2800 Psychoeducational Assessment LD/ADHD

$600 Comprehensive Gifted/Intelligence (IQ) Assessment

Do you have any question? Call here

(786)655-8231