In all terminations (whether as a result of meeting treatment goals, from dissatisfaction, or from not following your Treatment Plan), it is important that we have one additional appointment after you have informed your therapist about your intention to terminate (not following your Treatment Plan informs us that you do not wish to do therapy at this time). In this final session, your decision to terminate will not be reconsidered unless you wish to do so.
Psychotherapy sessions are 45 minutes in length with 15 minutes between sessions for the therapist to chart, return calls and review for the next patient. Arriving and exiting on time is greatly appreciated by other patients.
It is sometimes necessary to contact your therapist in between sessions. A short call, lasting no more than 10 minutes will not be charged. Should a call last longer or take place in lieu of an appointment, the call will be charged at the prorated session fee.
Testing and Consultation
We offer testing on a separate fee schedule. Consultation is charged at the regular session rate.
When your therapist takes a vacation, you will be notified of the dates your therapist will be away and given a method of contacting a therapist in the event of an emergency (see emergency section).
We are not open 24 hours a day. Although we try to respond as promptly as possible to messages left on the answering machine or with staff members, if you are in an emergency and cannot reach your therapist, please call 911 or go to the emergency room.
You are to pay your therapist weekly at the time of each session and are to keep your account current. Genesis, as a not for-profit corporation, is committed to providing therapy at a fee that is related to your ability to pay. Gifts from churches, individuals and former clients are the sole income for the financial assistance fund, which allows us to provide therapy on a percentage of reduction of fees when needed. Fees are also charged for report writing and correspondence. (See Financial Assistance addendum.)
The reduction in fee schedule is for those without insurance for mental health services. It is structured this way since we are not supported by the United Way, we receive no government funding and we are not a Medicaid provider. If you have extraordinary circumstances that would merit us considering you at a lower fee, please talk to your therapist. All clients see n by externs/interns will utilize an 8-session model that can be reviewed based on clinical and financial factors. (See Financial Assistance addendum)
The full fee is appropriate for those who, through a combination of their income, assets and insurance, can either pay the full fee or use their insurance benefits. Insurance reimbursement for outpatient psychotherapy is a benefit of most major medical policies. We encourage you to find out your deductible and limits of coverage so that you have a realistic idea of your expected reimbursement. We will submit claims to your insurance company. If your plan is a Preferred Provider Organization (PPO) plan, please check with your insurance company to make sure your therapist is on your panel. We are preferred providers for several P PO's. If you have a Health Maintenance Organization (HMO) plan, please be aware that most of the HMO's require you to see a therapist on their staff, though so me do provide for reimbursement of other providers. If we are not in your network and you still wish to see one of our therapists, we can see you at a fee negotiated with us.
If your mental health insurance benefit is managed by a managed care company, we will discuss payment procedures as they are determined by your plan. Please be aware that all managed care plans involve direct clinical management by the company. This makes it necessary for us to work together with your company to determine the nature of your treatment and , therefore, does have some impact on confidentiality. We ask that a credit card be on file at the Ist session in order to cover any deductibles, co-pays or co-insurance. If you choose not to leave a credit card, you are responsible for full payment until insurance coverage is verified.
Co-payments are due at the time services are rendered. Charges may be billed to your insurance company; however, any charges not covered by the insurance company are the responsibility of the client. Failure to pay co-pays, co-insurance and deductibles is considered insurance fraud and is reportable to your insurance company.