FEES

INITIAL CONSULTATION

In-Person intake session to discuss needs, set goals, identify assessment or treatment options, learn immediate strategies for change, and assess the connection between us for fit to your needs. (60 minutes)- $180

THERAPY, HYPNOSIS & COACHING

Sessions (50 Minutes) – $180

TESTING/ASSESSMENT

Is charged at $165 per hour and charges/time needed are dependent on specific referral questions. Assessment includes initial interview, face-to-face time, time spent scoring/interpreting/writing comprehensive report, and feedback session. Tests to be administered and a list of charges will be provided based on specific needs. Please call for more information.

INSURANCE

I maintain a fee-for-service practice. This means that I am considered “out-of-network” for insurance companies. We would be happy to provide a receipt for you to file with your insurance for personal reimbursement.  Many families are successful with obtaining partial reimbursement for my services.

It is important to check with your specific insurance company about your mental health/behavioral health out-of-network benefits and the details of those benefits.The phone number for your behavioral or mental health benefits is often on the back of your insurance card. You can check your “outpatient mental health benefits” coverage by asking the following questions:

  • Do I have mental health insurance benefits?
  • Who is an approved provider for my plan?
  • How much (what portion) will my insurance pay if I see an out-of-network provider?
  • How many sessions per year does my health insurance cover?
  • What is the coverage amount per therapy session?
  • What is my plan deductible and has it been met (may be a separate deductible for mental health)?
  • Is a referral required from my primary care physician?
  • Do my visits need to be pre-authorized? How do I get pre-authorization?
  • For testing: Do I have benefits for psychological testing, does it need to be pre-authorized, and how many sessions are authorized?

Health Savings Accounts and Flexible Spending Accounts

If you have a Health Savings Account (HSA) or a Flexible Spending Account (FSA), you are often able to pay for therapy, consultation, and psychological assessment services from such accounts. In effect, this makes those services tax-deductible. Please check your specific HSA or FSA to see if any restrictions apply.

Your Privacy and Insurance Coverage for Mental Health

Although HIPPA protects patient records, insurance companies often request information about patients’ treatment. At a minimum, they usually require a clinical diagnosis, dates of service, and type of service. Other companies request  treatment plans, detailed reports, or even copies of progress notes. This information becomes part of your file with the insurance company and may be stored in a computer database, or possibly shared with a national medical information database.  Sometimes insurance companies may deny payment for services if certain information is not provided. Choosing an out-of-network provider, such as myself, allows you to keep your personal information completely private.

PAYMENT

Cash, check and all major credit cards accepted for payment. It is expected that payment will be made at the time services are rendered.  I require a deposit at the time of psychological testing with payment in full expected by the time the results are presented in the formal report and feedback session.

APPOINTMENTS/CANCELLATION POLICY

I do not usually call to confirm appointments. If you cannot keep a scheduled appointment, please cancel the appointment at least 24 hours in advance to avoid the late fee of $180 for therapy appointments and 48 hours in advance for testing appointments ($300 cancellation fee).

Appointment times are set aside specifically for you and missed appointments reduce my capacity to provide services to other clients, as the number of appointment times are limited, especially during peak hours (e.g. after school). Payment for missed sessions is due at, or before, the next scheduled session.

CONFIDENTIALITY & PRIVACY POLICY

The law protects the relationship between a client and a psychologist, and I cannot disclose information about you without your written permission; however, there are a few legal exceptions to this rule.

Legal Exceptions include:

  • If I have reason to suspect child abuse, dependent adult , or elder abuse, I am required by law to report this to the appropriate authorities immediately. I will do my best to discuss this with you and let you participate in the report as much as you would like to.
  • If my client threatens serious bodily harm to another person/s, I must notify the police and inform the intended victim[s] when possible.
  • If you express an intent to harm yourself, I will may need to take steps to help keep you or your child safe. I will do my best to discuss this with you and make a plan together.
  • If you are involved in a legal action, generally information disclosed in our sessions is protected under the client/psychotherapist privilege; however a judge can waive that privilege and order me to turn over confidential records. I will do everything in my power to prevent this from happening, with your cooperation.

DIVORCE/CUSTODY

If you are not the biological parent of the child, it is necessary to bring a copy of the court decree giving you custody rights to the client or a signed statement giving authorization for you to bring the client to treatment. If you are a biological parent and have partial or joint custody, please bring a copy of your divorce agreement. Therapy is most successful when both parents are aware of and agree to the child receiving services.

***Please note that both parents have legal rights to obtain a child’s records and participate in the therapy process, unless their rights have been completely terminated.

Thanks for choosing my practice and I look forward to working with you.

Dr. Pasqua

     

 

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