I am in Network with Horizon Blue Cross Blue Shield, Empire Blue Cross Blue Shield PPO Plans and all out of state BCBS PPO plans. I also see Bluecard members from Blue Cross Blue Shield Plans based out of state. With other insurance companies I am considered out of network, meaning you will be responsible for the cost of service and I will provide you with information to submit for out of network reimbursement. I also do not accept Medicaid or Medicare.
Depending on your benefits, some or all of my fees will be refunded to you by your insurance company when you submit an out of network claim. I can provide you with a super bill to submit to your insurance for reimbursement for the cost of your visit.
There are costs associated with this practice that are not covered by insurance. Insurance will not cover late fees and other paperwork fees associated with my practice. All fees and copays are due before the start of your visit.
HSA and FSA cards can be used to pay for appointments.
Questions to ask your insurance company when you call:
- Do I have to get a referral from my child’s primary care physician or an employee assistance program to receive mental health services?
- Is there a “preferred list of providers” or “network” that you must see? Are child psychiatrists included? What happens if I want my child to see someone outside the network?
- Is there an annual deductible that I pay before the plan pays? What will I actually pay for services? What services are paid for by the plan: office visits, medication, respite care, day hospital, inpatient?
- Are there limits on the number of visits? Will my provider have to send reports to the managed care company?
- What can I do if I am unhappy with either the provider of the care or the recommendations of the “utilization review” process?
- What hospitals can be used under the plan?
- Does the plan exclude certain diagnoses or pre-existing conditions?
- Is there a “lifetime dollar limit” or an “annual limit” for mental health coverage, and what is it?
- Does the plan have a track record in your area?
You can visit the AACAP website to learn more about using insurance. Click Here
Please contact me for a list of my current fees.
If you are a NO SHOW or Late Cancellation for your Initial Evaluation you will not be rescheduled.
If an appointment is canceled by the patient/guardian with more than 48 business hours notice, the patient/guarantor will not be penalized. Any follow up appointments cancellations at less than 48 business hours, and/or no shows will be charged a $150 fee. 3 or more cancellations with less than 48 hour notice, and/or no shows, will be grounds for termination of treatment relationship at Dr. Fitzgerald’s discretion.
Exceptions are severe emergencies.