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Terms of Payment Policy

Financial Policy and Fees:

Payments of all copays, deductibles, balances, and/or coinsurance are due at the time of service. We accept most insurances. If we are not on a specific insurance panel and considered out of network, you will be financially responsible for the visit. Payment is due at the time of service. We accept any major credit cards. We are more than happy to provide you with a Super Bill to submit to your insurance company for reimbursement. Please notify us if you need to change your method of payment.

 

If you leave before being seen by the provider, you will not receive a refund. This will be considered a NO SHOW. No refunds are given after a service has been rendered or per appointment policy. Fees may be re-evaluated periodically and may increase over time. We will ensure that you are notified of any fee changes prior to your next appointment. If you have a balance, you are responsible for your share of the fees once your insurance has paid. Balances are due prior to rendering services.

 

As a service to you, our office will bill your insurance company. Being a participating provider with most insurance companies, they require that we collect these fees, as they are the terms of your health care contract. Any balances that are not covered by your insurance are ultimately your responsibility.

 

For your convenience, we accept credit cards including Visa, MasterCard, Discover, and Debit Cards. Due to the constant changes in health insurance it is your responsibility to know your health coverage. If you should have any questions regarding your mental health coverage, it is to your advantage to call your insurance company and find out exactly what your contract covers. Their customer service representatives will be happy to assist you. Patients are responsible for any and all outstanding fees, co-payments, deductibles, and/or co-insurance that is not covered by my insurance.

 

 

Thank you,

 

 

GBMHC LLC DBA Tranquility Behavioral Health LLC