Insurance & Fees
Insurance
Insurance or a lack there-of shouldn’t be a barrier to care. Please contact us to find out how we can help you on your mental health journey. Please see below for currently contracted partners supporting our goal of making psychiatric services more accessible.
Cash, Check, or Credit Card
Affiliated With
A word about Blue Shield of California
While we have providers in-network with Blue Shield of California, please note that many Blue Shield of California plans actually require you to have mental health benefits through one of their sub-contracted mental health service agencies, for which we may or may not be considered an in-network provider. We are not in-network for Magellan. Please check with your insurance carrier regarding their specific network for mental health care.
If you have coverage by an insurance company for which we are a preferred provider, you will not be billed our regular rates. Rather, your insurance company would pay us a negotiated rate.
Despite our best intentions and efforts, we have not been able to panel with all insurance plains and am considered out-of-network for some of them. We do not accept Medi-Cal. We are not contracted directly with Kaiser; however, if you have Kaiser insurance, you may be able to request your primary care provider to give you a referral to see us or another provider outside their network if you cannot obtain adequate mental health services at Kaiser.
If you are currently covered by insurance not listed above, we are considered an out-of-network provider and you will be charged our regular rates. We can provide billing statements for your use in requesting reimbursement from your insurance carrier.
You will likely still be responsible for some out of pocket costs, which may include deductibles, co-pays, and/or co-insurance. We recommend that you contact your insurance company to confirm coverage before making an appointment to avoid any surprises. You are responsible for obtaining any referrals or authorizations needed prior to receiving services.
Fees
Initial Intake Visit MD
99204 + 90838 Total = 550.00
Follow Up Visits MD
99214 + 90833 Total = 250.00
99214 + 90838 Total = 350.00
Initial Intake Visit NP
99204 + 90838 Total = $450.00
Follow Up Visits NP
99214 + 90833 Total = $195.00
99214 + 90838 Total = $295.00
Additional Services
90834 or 90837 = $195 (Therapy)
No Show or Late Cancellation (<2 Business Days):
400.00 No Show Fee for Initial Visit
195.00 No Show Fee for Follow Ups
*PA’s and RN’s will be billed under the MD rates
*Cash Patients: For medication follow-up’s only (99214), please contact the billing dept. if you have any questions.
**Adult ADHD evals require two 50-min appointments
**Child/adolescent evals require three 50-min appointments
We may not bill for some common services that happen outside of your therapy session. Such services include: filing uncomplicated prior authorization requests; uncomplicated collaborations with your primary care doctor or your therapist; having a routine amount of communication with your pharmacist; and engaging in a reasonable amount of communication with you.
If we are spending a disproportionate amount of time on your behalf outside of the office visit, we will need to bill on a pro-rated basis at $450 per hour. Examples of such services include: excessive crisis management efforts, complicated prior authorization requests for medications for which a reasonable alternative is available on your formulary, filling out disability forms, and writing letters. We will let you know ahead of time, so that you can make an informed decision on whether or not you would like us to provide such services.
Payment
Payment is collected at the time of service by cash, credit card, or check made out to Well Coast Medical Corporation. We will need to keep a current credit card on file. This information will be stored securely in your chart.
Please note that the continued availability of our services is contingent upon your being current on your account. We will not see you if you have not paid in full for any and all services previously rendered by us.
No-Show/Late Cancellation Fees
As will be detailed in your client agreement, we have a strict 2-business-days (M-F) advance notice policy for cancellations and rescheduling. If you cancel or reschedule less than 2 business days before your scheduled appointment, or otherwise no-show to your appointment, you will automatically be charged the full cash rate applicable to your appointment, regardless of your insurance coverage. We do not make exceptions to this policy, and we ask that you respect your provider’s time, as well as the opportunity lost by other clients due to late cancellations or no-shows.
No Surprise Act Compliance
Effective January 1st, 2022, the No Surprise Act entitles patients without insurance or any self-pay patients to receive an estimate of the cost of services anticipated to be provided over a twelve-month period. The above information regarding fees should be used for estimation purposes only. After you are formally scheduled, our billing office will provide you with a written good faith estimate of your costs for a twelve-month period.
