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    • Home
    • About Us
    • Services
    • Forms
    • Rates & Insurance
    • Contact Us
    • Other Fees
  • Home
  • About Us
  • Services
  • Forms
  • Rates & Insurance
  • Contact Us
  • Other Fees

Rates & Insurance

Practice Policies

 Payment is due at time of service. Please contact us for specific fee information. Fees are based on service provided,  length of session and insurance coverage.


Payment Plan options are available in limited situations. 


Scheduling and Cancellation Policy

Session spots are limited each week in an effort to devoting the appropriate amount of time and attention that is required to provide excellent service and outcomes. Therapy is most successful when sessions are regular and consistent. If you need to cancel an appointment, please contact us as soon as possible so we may reschedule. 


Effective July 1, 2023, the following scheduling and cancellation policy will be in effect at Falls Psychology Services, PLLC, as described below: If you need to schedule or cancel an appointment, please contact the front desk at fallspsychologyservices@gmail.com or (940) 247-2322. 


The cancellation fee is $30 for a missed appointment or an appointment cancelled with less than a 24 hour notice of appointment time. Please contact our front desk at fallspsychologyservices@gmail.com for last-minute cancellations, as they will assist you with cancelling and/or rescheduling your appointment. Insurance companies will not reimburse for missed appointments.


Cash Pay

$150.00-Initial Intake Session
$100.00 per 50-minute session
$100.00 per 50-minute couples therapy session

Psychological Assessment and Consultation rates are dependent upon services provided

Insurance

Services may be covered in full or in part by your health insurance or employee benefit plan. We can verify your benefits prior to your initial visit.   We will provide a good faith estimate. 

**Please note that some primary insurances default to a secondary claims processor for behavioral health treatment.  We have to verify all insurance prior to your first visit and determine what your copay and deductible are.  


In-network insurance companies: 

Aetna

Aetna Better Health Texas

Blue Cross Blue Shield of Texas

BCBSTX Medicaid STAR/CHIP

Caprock Health Plans

Cigna

First Health Network

Government Employees Health Association (GEHA)

Humana Military (Tricare)

OptumHealth Behavioral Solutions

Oscar Health

Superior Health Plan Texas

Texas Medicaid

TX Medicare Part B and Indian Health Services

UnitedHealthcare

 

Please contact your insurance provider directly to verify mental health coverage. The following questions will be helpful when discussing coverage with your insurance:

  • Do I have behavioral health/mental health insurance benefits/coverage?
  • Is my plan in-network or out-of-network with Falls Psychology PLLC?
  • If I am in-network, what is my co-pay or co-insurance for an in-office outpatient mental health visit?
  • If I am out-of-network, do I have out-of-network benefits and at what rate am I reimbursed?
  • Do I have an annual deductible? What is it and how much of it has been met? Is it a calendar year deductible or does it restart on a different date?
  • Are there a limited number of sessions allowed?
  • Is there an annual or lifetime limit on what my insurance will pay?
  • Is approval, referral or pre-authorization required?


Please contact us for assistance with determining insurance eligibility.


All remaining insurance companies are considered “out-of-network”. If your insurance company offers out-of-network benefits, you may receive reimbursement for the cost of sessions. Most insurance companies that provide out-of-network benefits cover between 50%-80% of the cost per session. We are happy to submit claims out of network for your convenience. 


Reduced Fee 

Reduced fee services are available on a limited basis.


Payment

Cash, check and all major credit cards accepted for payment. 

 

Good Faith Estimate

We are required to provide you with a Good Faith Estimate under the new No Surprises Act law that went into effect January 2022. This means you will not receive surprise bills after the fact, and that you have a right to know what all services will cost up front. All fees are listed above. The amount of sessions depends on a number of variables, including what you would like to address in therapy and how long you plan to participate in therapy, which is different for each individual and can change depending on availability, finances, and other factors. All services are paid for at the time of service or are billed to insurance if you are using your insurance. If you are billing to insurance, you will be responsible for any copays or deductibles you may have. We cannot balance-bill (bill you for the portion insurance doesn’t cover after they’ve paid out) or charge you more for services after the agreed-upon rate (listed above).

Additional information on financial practices will be provided when you sign up for services. 


Copyright © 2023 Falls Psychology Services - All Rights Reserved.



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