Online Payments
Making a payment is now effortless. Simply click on GET STARTED or scan the QR code on the image to the left and provide the necessary information. No login required.
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We ask that all patients remember that the Pauquette Center for Psychological Services is a private, for profit, practice group of mental health care providers. As such, the fees for our professional time are the only source of income that we have to keep our doors open. It is very important that you work with us and your health insurance company to make sure that your fees are paid promptly.
Your out-of-pocket expense for psychological services is based on the service being provided, the clinician’s credentials, and how much of the treatment fee is covered by health insurance. For example, an intake appointment with a psychiatrist is charged at a different rate than a 45-minute therapy session with a therapist who holds a master’s degree. Some patients may have a co-pay of $60 per visit, while others may have a co-pay of $3 per visit, depending on what type of health insurance they have. The Pauquette Center for Psychological Services “Fee Schedule” is available upon request.
We track all patient accounts to insure that patients are upholding their financial responsibility to the Pauquette Center for Psychological Services. If you have not paid your co-pays, deductibles, and other fees promptly and have allowed a balance of $200 or more to accumulate, you may not be allowed to continue to receive psychological services until your balance is paid in full. Your therapist will discuss these issues with you in session if this becomes a concern.
The Pauquette Center for Psychological Services offers payment plan arrangements for those who owe $200 or more on their account, or who have owed any amount for more than 30 days. A payment plan can be discussed and signed during a therapy session. Failure to follow the conditions of a payment plan may result in the discontinuation of psychological services until your balance is paid in full
Your health insurance policy is a contract between you and your insurance company. The clinic will submit claims to your insurance company as a service to you.
All charges not covered by your insurance company, including co-pays and deductibles, are due at the time of service.
If a claim is disputed, the clinic will not accept responsibility for collecting the fees from your insurance company or for negotiating a settlement. You will receive a bill for all claims that remain unpaid by your insurance company and your payment will be expected within 30 days of receiving the bill. As noted above, a payment plan can be made with your therapist for monthly payments towards your balance.
You are responsible for services not covered or partially covered by your health insurance.
Insurance Acceptance:
Please note that the specific insurances accepted by a provider can vary based on several factors, including:
- Provider licensure
- Insurance policy terms
- Client age
- In-person services vs. Telehealth
To ensure accurate billing, please contact our dedicated Client Services Representatives to confirm your insurance coverage.
Please note that while we accept a wide range of insurance plans, including Medicaid and Medicare Products, not all may be listed here.
If your insurance provider is not listed, please contact them directly to verify your benefits.
If you choose to self-pay for services please know that payment in full is due at the time of service. Again, a copy of the clinic’s current fee schedule is available upon request.
- The clinic’s policy requires 24 hours advance notice when canceling an appointment, so that the provider’s time can be best utilized to serve other patients who are waiting for services. Failure to provide 24 hour advance notice when canceling an appointment may result in a “Missed Appointment Fee” of $100 for each occurrence. These fees must be paid BEFORE another appointment will be scheduled. We keep all clients on autopay for late cancellation and no show fees which requires a credit/debit card to be on file at our offices.
- A fee for frequent and/or extensive telephone contacts will be charged based on your therapist’s hourly fee for in-office psychotherapy sessions. Phone contact over 15 minutes may be subject to the appropriate session fee and/or copay.
- The billing rate for your PSYCHIATRIST or PSYCHOLOGIST to write a letter, complete disability paperwork, or prepare other documents for external agencies on your behalf is $100 per 30 minutes. This fee must be paid prior to the release of the requested paperwork.
- The billing rate for your THERAPIST to write a letter, complete disability paperwork, or prepare other documents for external agencies on your behalf is $50 per 30 minutes. This fee must be paid prior to the release of the requested letter.
- If you are involved in court proceedings and request that your therapist complete a deposition or appear as a witness in a court hearing, the fee charged includes time spent and travel expenses. Fees for court-related services must be paid in advance. Please discuss this issue with your therapist if it becomes applicable in your case.
- The clinic will not submit claims for court ordered evaluations. These services must be paid out-of-pocket and a deposit is required in advance.
- When requesting a copy of your health records you will be charged up to $1 per page plus sales tax and postage costs. This fee must be paid in full before a copy of your records will be released to you.
- If you request an “Accounting of Health Information Disclosures” we will provide you with one accounting per 12 month period at no charge. The charge for additional accountings requested during the 12 month period will be: a fee for medical record professional time ($15 per hour); and, if included, a fee for copies of records (up to $1 per page plus sales tax and postage). Payment in full is required before the accounting will be released to you.
- A $25 service charge will be assessed for any check returned due to “insufficient funds.”
- Any remaining balance must be paid within 90 days to avoid collection proceedings.
- Any credit balance of $15 or less will be retained due to the clinic’s processing costs involved in closing accounts and issuing refunds.
- If acceptable payment arrangements have not been made regarding outstanding balances, or if a payment plan has not been followed, the clinic reserves the right to utilize legal means of obtaining payment. This may result in releasing names and addresses to collection agencies, attorneys, or the courts. You will be responsible for the fees assessed by these agencies.