Copayments and other patient costs:
Copayments are due at the time you receive care or services. The copayment amount is determined by your specific insurance plan. Phoenix Mental Health and Wellness has no control over the cost of your care. If you will not be able to pay the copayment at the time you receive care or service you will need to call ahead to see if you will be able to keep your appointment. You, as the client, are responsible for all or part of the charges not covered by your insurance, based on your coverage and insurance plan.
Care or services not covered by your insurance plan:
Not every service is covered by every insurance plan. Some or all of the care of the services you receive might not be covered by your insurance or may be denied by your insurance plan. Even if we have an established contract with your insurance carrier you may still have some financial obligation based on your individual plan. If this is the case, and your insurance denies payment, or holds you responsible for part of the payment, you will be responsible for the cost determined by your insurance policy. We advise that you ask your insurance company to approve services in advance if there is any question about coverage. If you receive a service that is not covered, you are responsible for payment in full. Cash prices are $200 for initial visits and $125 for follow-up visits.
Upon scheduling your first appointment you will be required to have a debit or credit card placed on file for future charges. This card will be charged the day of your appointment for any copayments due. If your insurance determines you are responsible for additional charges your card will also be charged 3 days after a statement is emailed to you. It is the responsibility of the client to make sure Phoenix Mental Health and Wellness has your correct email address and the client checks the given email address for emailed bills. If you do not agree to the balance on the statement you must call our office at 928-985-1495 to contest the balance within 2 days. All self-pay appointments must be paid for at time of booking. Members paying through their insurance must email a copy of the front and back of their insurance card to email@example.com within 48 hours from the time the appointment has been scheduled to avoid appointment cancellation.
We send out text reminders about your appointment as a courtesy but it is your responsibility to confirm your inital appointment at least 24 hours before your appointment. If you do not call or text to confirm your appointment then the appointment will be cancelled.
CANCELLATION POLICY: Appointments cancelled at least 24 hours in advance of the appointment time will not be charged a cancellation fee. Unfortunately, due to our commitment to respecting the time of both our other patients and our providers, any appointment cancelled or not attended with less than a 24 hour notice is subject to a 50% cash fee (totaling $100 for initial consultations and $62.50 for follow ups), which must be paid before scheduling a new booking. In the case of virtual visits patients are responsible to have the app downloaded correctly and be in an area that has sufficient Internet coverage or cell coverage to allow for the visit. If the patient does not have the app downloaded correctly or does not have sufficient Internet or cell coverage to complete the visit this will be considered a missed appointment and the patient will be required to pay a no-show fee to rebook subsequent appointments. We strongly encourage all patients to test the app prior to their appointment time to avoid any technical difficulties that may result in a no show and subsequent fees. As a courtesy, we will endeavor to send a reminder via text, email, or phone. If a reminder is not sent it is still the responsibility of the patient to attend the scheduled appointment.
Visits cannot be completed while patient is in a moving vehicle.
Missed appointments: If you do not call to cancel your appointment more than 24 hours in advance, we reserve the right to discharge you as a patient.
I understand my financial responsibility and agree to the above statements.