Payment Policies & Fee Schedule for Integrative Psychotherapy


Payment Options:

Private pay, no insurance billing.

Utilize Insurance.

  • Please be advised that insurance billing requires the disclosure of Protected Health Information including diagnosis, treatment dates, treatment plans and progress notes.
    (See HIPPA Compliant - Notice of Privacy Practices.)
  • If Carolyn is an In-network provider with your insurance company, you are responsible for your co-pay and any deductible amount according to your policy.  You are responsible to secure Pre-Authorizations and to know your benefits.
  • If you are using Out of Network coverage, you are responsible to pay the full fee and will be supplied a statement each month to submit to your insurance company for reimbursement.
  • All payments (private pay, co-payments and deductibles) must be made at the time of service unless other arrangements are agreed upon prior to the time of service.

Payment Policies:

All payments are to be made, at the time of service,  by check, payable to Carolyn Zahner, MSW, LISW, or by cash.

Should your insurance company deny benefits or fail to pay for any reason, you are responsible to pay the balance due.  Please note: A pre-certification is NOT a guarantee of benefit payment.

Cancellation Policies:

To avoid a cancellation fee, cancellations must be made at least 24 hours prior to your scheduled appointment time.

Cancellations made after 24 hours and No Shows are subject to the full private pay fee for time scheduled.

Fee Schedule:

Private Pay
Single Session (60 minutes) - $95.00
Double Session (120 minutes)
-  $190.00
Note: Sliding Scale fees may be available with income verification.

Insurance
Initial Visit - $170.00
All subsequent visits (60 minutes) - $150.00
Except in rare circumstance, extended sessions (over 60) are not covered by health insurance.  Should you choose extended session(s), the extra time will not be billed to your insurance company but will be charged as private pay and paid along with the co-pay at the time of service.

Other Services:

Phone calls, reports and other services will be billed at the Private Pay rate in 15 minute increments.

Court appearances are pre paid and billed at an initial $150.00 fee plus travel time. Anytime over one hour will be billed at the regular Private Pay rate in 15 minute increments. Should a 2nd party issue the subpoena, the client is responsible for payment for court appearances or documents from this therapist.