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Financial Information
This page details our fees
and insurance coverage and outlines our billing procedures.
Please read it carefully and ask our staff any questions
you may have. Should you ever have a question
about our service, please contact one of us.
Robert Evans, Ed.D.
Director
Mark Kline, Psy.D.
Associate Director
Fees and Insurance
Fees are the responsibility of the client, or, for
a child, of the parent or guardian authorizing service.
HRS is a provider for Medicare, Medicaid, Tufts,
and Blue Shield of Massachusetts. For
these insurers, we file claims and receive payment
directly while benefits last. Clients are responsible
for deductibles and co-payments and, when benefits
end, for payment in full. Clients are also
responsible for payment in full if an insurance claim
is rejected for any reason.
Managed care companies do not cover sessions unless
these have been authorized. Our Business Office
must have an authorization number before a first
session can take place.
For insurance companies other than those listed
above, clients must pay in full to the therapist
at the time of the session. Our Business Office
will be glad to file claim forms to facilitate your
reimbursement.
Insurance coverage is now extremely complex, and
we recommend that you check carefully with your insurer
about your benefits, limitations, and claim procedures.
Reduced Self-Pay Fees
Grants by the towns of Wellesley, Weston, and Wayland,
and our own fundraising permit us to reduce self-pay
fees for residents who are responsible for full fee
and cannot afford the cost. Reductions are
not applied to deductibles or co-payments and are
reviewed periodically.
To request a fee reduction you must submit a Community
Adjustment application, along with a copy of your
most recent IRS Form 1040. You must also authorize
the assignment of insurance benefits to HRS.
Billing
Payment for which the client is responsible is due
at the time of each visit and is given to the therapist.
Receipts are available upon request, and statements
of insurance activity are available from the Business
Office.
For group therapy clients, and those for whom a
guarantor is not present, fee payment is due in
advance on a monthly basis
School/Employer Plans
Clients seen under programs funded by area employers
and schools are responsible for fees when the plan’s
benefit ends.
Cancellations
Appointments canceled with less than 24 hours
notice are charged to you at your self-pay rate,
as we cannot make the time available to others. (If
you are on a school or employer contract, your
benefit is “charged.”) Note:
insurance and Medicaid will not cover these
charges and you will be responsible for payment
of our full fee (or your reduced fee, if applicable)
for the missed appointment.
Group clients are charged for all cancellations
as we must hold their place in the group.
Overdue Accounts
Accounts 30 days overdue are charged interest at
a rate of 1% per month (12% annual rate). If
a client does not present payment for two consecutive
sessions, we cannot schedule further visits until
full payment is received.
Self-Pay Fee Schedule
Diagnostic (1st
visit) |
$ 175.00 |
Individual/Family Therapy |
140.00 |
Group Therapy |
45.00 |
Medication Evaluation |
250.00 |
Individual Therapy with Medication Management (45-50 mins.) |
175.00 |
Individual Therapy with Medication Management (25-30 mins.) |
150.00 |
Medication Management |
125.00 |
Psychological Testing |
1,000.00 |
Cognitive Testing |
400.00 |
Personality Testing |
600.00 |
Residents of Wellesley, Weston, and Wayland are
eligible for sliding scale self-pay fees, as follows:
Individual & Family Therapy
| |
Number of Dependents
|
Family Income |
1 |
2-4 |
5+ |
10,000 |
45.00 |
40.00 |
30.00 |
13,000 |
48.00 |
37.00 |
32.00 |
16,000 |
55.00 |
50.00 |
40.00 |
19,000 |
60.00 |
55.00 |
45.00 |
22,000 |
65.00 |
60.00 |
50.00 |
25,000 |
70.00 |
65.00 |
55.00 |
28,000 |
75.00 |
70.00 |
60.00 |
31,000 |
80.00 |
75.00 |
65.00 |
34,000 |
90.00 |
80.00 |
75.00 |
37,000 |
110.00 |
100.00 |
90.00 |
40,000 |
120.00 |
110.00 |
100.00 |
43,000 |
130.00 |
120.00 |
120.00 |
46,000 |
140.00 |
130.00 |
130.00 |
49,000 |
140.00 |
140.00 |
140.00 |
Group Therapy
Income/Year |
1 |
2-4 |
5+ |
$ 10,000 |
15.00 |
10.00 |
8.00 |
13,000 |
20.00 |
15.00 |
10.00 |
16,000 |
25.00 |
20.00 |
15.00 |
19,000 |
30.00 |
25.00 |
20.00 |
22,000 |
35.00 |
30.00 |
25.00 |
25,000 |
40.00 |
35.00 |
30.00 |
28,000 |
45.00 |
40.00 |
35.00 |
31,000 |
45.00 |
45.00 |
40.00 |
34,000 |
45.00 |
45.00 |
45.00 |
Psychological Testing
Income/Year |
Cognitive |
Personality |
Full |
$ 10,000 |
60.00 |
280.00 |
340.00 |
13,000 |
80.00 |
320.00 |
400.00 |
16,000 |
100.00 |
360.00 |
460.00 |
19,000 |
150.00 |
400.00 |
550.00 |
22,000 |
200.00 |
440.00 |
640.00 |
25,000 |
250.00 |
480.00 |
730.00 |
28,000 |
300.00 |
500.00 |
800.00 |
31,000 |
400.00 |
600.00 |
1,000.00 |
34,000 |
500.00 |
700.00 |
1,200.00 |
37,000 |
600.00 |
800.00 |
1,400.00 |
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