Fees and Policies Individual therapy rates are based on a 53 to 60 minute session. Group therapy rates are based on a 90 minute session. Our usual and customary fees for most of our therapists are between $160.00 and $198.00 per 53 to 60 minute session depending on the therapist. Dr. Kaye’s fees are set at $ 198.00 per session. Of all these fees, regular indemnity insurance plans will often pay 50 to 80%. Cary Counseling Center will file insurance forms to your insurance company at the end of each month. If you are willing to provide a security guarantee such as your credit card information on file, then Cary Counseling will only need to collect your co-pay amount each session if the Center is “in network” with your insurance company. However, you do remain responsible for whatever amount of the remainder that the insurance company does not pay because of annual deductibles, missed appointments or other reasons. You can often find the appropriate mental health telephone number somewhere on the front or back of your health insurance card.
Cary Counseling Center has the policy of charging for missed appointments and late cancellations. This policy was devised after the loss of many thousands of dollars due to unexpected cancellations. As long as 24 hours notice is given of a cancellation, there is no charge. If 23 hours or less advance notice is given of a cancellation, then there is a charge. The reason for this is that the Center usually cannot schedule in a new appointment with this short a notice. Therefore, the late cancellation costs the Center revenue that would otherwise have been generated. This is a straightforward business agreement with the Center that covers its lost opportunity costs. It is a part of the service agreement that is required from every person to be seen at the Center. Before you come to Cary Counseling Center, you may want to call us at 919-467-1180 or email us to obtain a copy of our service agreement for your review. Leave your name and address with the receptionist so that she can have our administrative assistant send you a copy.
We welcome your feedback and inquiries. However, due to overwhelming response to this site, we do not have the manpower to handle e-mail questions of a personal nature. Please check out our Q & A FORUM where you have an opportunity to ask those types of questions. If you have other questions or concerns, please contact us as follows:
Each counselor at Cary Counseling Center manages their own schedule of appointments. To set an appointment with a specific counselor, call (919) 467 1180 and ask the receptionist to have the counselor return your call. Your message will be electronically delivered via text message within minutes. If not in session, your counselor can usually return your call fairly quickly. If you have not yet chosen a counselor, please review the background information on each of the Center’s counselors by visiting our STAFF PROFILES page. Each counselor has written a description of their style and theoretical orientation so that you can get a feel for how they work. Some have also included written articles so that you can get a sense for how they think as well. One complication in choosing a counselor may be the restrictions in a managed health care plan. If your plan involves a preferred provider panel, pre-authorization of services, or if it flatly denies coverage for some services such as marriage counseling, it would be best for you to call them directly to get the details. You can then check to see if your choice of counselor and service will be covered and authorized. If so, try to obtain the authorization number, the total number of authorized sessions, and the co-pay amount. Some companies may give you a list of names but you are not actually authorized for counseling until you finally call them back with your choice. It should also be mentioned that some companies will routinely give you a list of their lowest paid counselors (to protect their profit) unless you specify a counselor of your choice. In this type of situation, you will not even be informed of some of the more seasoned counselors unless you specifically ask for them by name.
Allied Psychological Services
DBA Cary Counseling Center
875 Walnut Street, Suite 220, Cary, NC 27511
919-467-1180, carycounseling@mindspring.com, www.carycounseling.net
YOUR RIGHTS AND PROTECTIONS AGAINST SURPRISE
MEDICAL BILLS
(OMB Control Number: 0938-1401)
When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
What is “balance billing” (sometimes called “surprise billing”)?
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or be required to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.
“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.
“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care – like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.
You are protected from balance billing for:
Emergency services
If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.
Certain services at an in-network hospital or ambulatory surgical center
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.
If you get other services at these in-network facilities, out-of-network providers can’t balance bill you unless you give written consent and give up your protections.
You’re never required to give up your protection from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.
When balance billing isn’t allowed, you also have the following protections:
- You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.
- Your health plan generally must:
o Cover emergency services without requiring you to get approval for services in advance (prior authorization).
o Cover emergency services by out-of-network providers.
o Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
o Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.
If you believe you’ve been wrongly billed, you may contact:
NC Psychology Board
895 State Farm Road, Suite 101
Boone, NC 28607
Tele: 828 262 2258
info@ncpsychologyboard.org
