Prescription refill policy:

Medication refills will be addressed during your regular follow up visits. If there is an emergency situation, I will allow a small supply to be filled only until you can be seen.Please make sure you have a follow up visit scheduled before requesting refills. Routine refill requests should be made during normal business hours, not weekends or holidays. Please allow up to 48 hours for a refill request to be processed.

As per new federal and state regulations,

Update regarding telehealth regulations and schedule 2 medications (adderall, concerta, vyvanse, focalin, ritalin etc….)

  The prescription of Schedule II controlled dangerous substances through the use of telemedicine or telehealth shall be authorized only after an initial in-person examination of the patient, as provided by regulation, and a subsequent in-person visit with the patient shall be required every three months for the duration of time that the patient is being prescribed the Schedule II controlled dangerous substance.  However, the provisions of this subsection shall not apply, and the in-person examination or review of a patient shall not be required, when a health care provider is prescribing a stimulant which is a Schedule II controlled dangerous substance for use by a minor patient under the age of 18, provided that the health care provider is using interactive, real-time, two-way audio and video technologies when treating the patient and the health care provider has first obtained written consent for the waiver of these in-person examination requirements from the minor patient's parent or guardian.

In addition:

The covid era pandemic exceptions regarding prescribing of any controlled substances are set to expire December 31, 2024.

That means prior to prescribing any controlled substances, an in- person evaluation is required.

Appointments:

Existing patients- remember your login is your e-mail that you initially provided me on intake. Passwords that are forgotten can be reset thru the system. 

Repeated no shows and or cancellations within 24 hours will be charged for the missed visit.

Regular appointments are necessary to be considered in treatment with me. Most patients are seen every 3 months or more frequently as needed.

Payment:

Due at time of service by check, credit card, Zelle and venmo.

20 MINUTE STANDARD FOLLOW UP VISIT $150, CPT CODE 99213.

40 MINUTE EXTENDED FOLLOW UP VISIT $300, CPT CODES 99214

INITIAL CONSULTATION: $500, CPT CODES 90791 OR 90792

LATE FEES WILL BE APPLIED FOR ACCOUNTS PAST DUE.

I do not accept any insurance directly including Medicare and Medicaid. Medicare and Medicare patients are prohibited by law to submit for reimbursement . Please check with your insurance company whether you have the option to pay me directly or whether you are required to see an in network provider. Commercial Insurance patients will get an itemized receipt to submit to insurance, but also please check what benefits you may have and if my services are covered.

Disclaimer: Per the No Surprises Act, this Good Faith Estimate shows the cost that is reasonably expected for your health care needs for a service. The estimate is based on information known at the time the estimate was created.

The Good Faith Estimate does not include any unexpected costs that may arise during the appointment. You could be charged more if special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill.

If you are billed for substantially more  than this Good Faith Estimate, you have the right to dispute the bill.

You may contact the health care provider to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available.

You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill.

There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount.

To learn more and get a form to start the process, go to www.cms.gov/nosurprises or call 1-877-696-6775.

For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call 1-877-696-6775.

Please contact me if you would like this good faith estimate sent to you in writing.