Payment Policy

 

Horizons Mental Wellness LLC requires all patients to maintain a valid credit or debit card on file. By providing a card on file, you authorize our office to charge your card for any patient responsibility balances after insurance processing, coinsurance, deductibles, and non-covered services.

 

For patients utilizing insurance, claims will be submitted to your primary and, if applicable, secondary insurance. Once all insurance claims have been fully processed, any remaining balance becomes the patient’s responsibility.

 

You will be notified of your balance via statement and/or electronic communication. If the balance is not paid within 5 business days of notification, the card on file will be charged for the outstanding amount. Notification is considered complete once the statement or communication is sent to the contact information on file.

 

For Medicare patients, Medicare typically covers approximately 80% of the approved amount for covered services. Secondary insurance, if applicable, will be billed. Any remaining balance after Medicare and secondary insurance processing is the patient’s responsibility and will be handled in accordance with this policy.

 

No-show and late cancellation fees are not billable to insurance, including Medicare, and are the patient’s direct responsibility.

 

The policy of Horizons Mental Wellness LLC is to collect all self- pay or copay payments prior to services being rendered. For your convenience, we accept Visa, MasterCard, American Express, and Discover. If we are out of network with your insurance company, we can provide a superbill, upon request, for you to submit to your insurer for possible reimbursement.

 

Self-pay Service Fees:

 

• New Patient Evaluation: $350

• Follow-Up Appointment: $175

 

Insurance coverage varies. The patient is responsible for all costs not covered by their insurance plan. Payment is due 24 hours prior to your appointment. Failure to maintain a valid card on file may result in cancellation or rescheduling of appointments. Additionally, failure to complete intake paperwork at least 24 hours prior may result in cancellation.

 

If you have any questions or concerns regarding payments and/or financial responsibility, please contact the office in advance so we may discuss your account.

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Insurance Verification

 

As a courtesy, Horizons Mental Wellness LLC will verify insurance eligibility; however, verification of benefits does not guarantee coverage or payment. Patients are ultimately responsible for understanding their individual insurance plan, including coverage limitations, deductibles, copayments, coinsurance, and out-of-network benefits.

 

It is the patient’s responsibility to ensure that Horizons Mental Wellness LLC is in-network with their insurance plan and to understand how their benefits apply to services rendered.

 

For patients with Medicare and a secondary insurance, Medicare will be billed as the primary payer. Secondary insurance will be billed if applicable; however, not all secondary plans cover out-of-network services. Any balance remaining after all insurance processing is the patient’s responsibility. Horizons Mental Wellness is not in network with Medicaid and therefore cannot bill Medicaid.

 

Horizons Mental Wellness LLC is not contracted with Medicaid.

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Delinquent Accounts & Returned Payments

 

A $50 re-billing fee will apply to any returned or failed payment. Accounts delinquent over 60 days will be charged to the card on file. After 90 days, unpaid accounts may be sent to collections. Any costs associated with collections, including a collection fee of up to 40% of the outstanding balance, may be added to the account to cover the cost of collections services, as permitted by law. For any billing or payment questions, please contact the front office.

 

Refunds and Disputed Charges

 

All payments for psychiatric evaluations, follow-up visits, and other professional services rendered by Horizons Mental Wellness LLC are non-refundable once the service has been provided. Fees are charged for the time and expertise of the provider, not for a specific outcome or diagnosis. If a client believes a payment was processed in error (for example, duplicate charge or wrong appointment type), they must notify the office within 7 business days of the transaction. Any approved refund will be processed back to the original payment method within 10 business days. Horizons Mental Wellness LLC reserves the right to dispute any chargeback and provide supporting documentation that services were rendered or that the patient agreed to the terms of service prior to payment.

 

Failure to comply with office policies, including missed appointments or failure to meet financial obligations, may result in cancellation of appointments and/or discharge from the practice.