Sliding Fee Scale
A sliding fee scale is available for clients who are not able to financially afford the standard fee, or who may not be able or willing to use insurance. The sliding fee scale is calculated based on a variety of factors and takes into consideration each clients unique circumstances. You may be asked to furnish verification of household income as well as any other documents to support your situation in order to qualify.
Insurance Issues
At this time, we are not a contracted provider with insurance companies. If your insurance plan has out of network mental health benefits then our sessions may be covered. At no time do we guarantee that your insurance company will reimburse. If you opt to use insurance, please download and complete the Insurance Consent Form. As a courtesy, at the end of each month, we will bill your insurance company, HMO, responsible party or third party payer for you if you wish. You will then be reimbursed by your insurance company for the amount per session covered by your policy.
The office will need a copy of your Insurance Card and we will discuss procedures for contacting your insurance company to determine the nature of your policy (i.e. the amount per session covered, what you will be personally responsible for, and the number of sessions allowed per year). It is this office’s policy to bill your insurance so that you will be reimbursed by them. Under special circumstances, if we must bill your insurance and accept payment, we will require you to authorize payment of insurance benefits directly to Dr. Lisa Sullivan, A Sign of Hope, LLC.