Fees & Payments

The fee for individual psychotherapy is $110 per hour session. The cost of participation in a Coping Skills Group is $35 per week, in addition to $110 for the initial assessment. Payment is due at the time of service. I am unable to accept credit card or check cards. Please bring a check or cash.

Insurance

If I am in your insurance network or panel, I may bill your insurance company for services. If I am out-of-network or if there is not a network, I ask to be paid for the full amount. I will provide receipts for you to send into your insurance company. Please be aware that insurance companies sometimes make errors in payments. If your insurance company makes an error, I may ask you to call your insurance company to resolve the issue. If you plan to use your insurance to pay for treatment, please complete this Insurance Questionnaire:

  *First Name:   
  *Last Name:   
  *E-mail:   
  Phone Number:   
 


Please call your insurance company to answer to the following questions: 

 
  “Is Robin Day, LPC in my mental health provider network?”
(If there is no network or if I am out of network, I ask that
you pay the full fee at the time of service. I will provide
receipts that you can send to your insurance company for reimbursement.)



 
  “Assuming that they are ‘medically necessary,’ how many mental health visits am I allowed per year?”


   
  “Do these mental health visits includes sessions with a psychiatrist”


 


 
 
What is my deductable?

   
 
“Does this deductible apply only to mental health treatment or is it combined with my medical deductible?”

 



 
 
What is my co-pay?

   
 
“Do I need a pre-certification for services with Robin Day, LPC?” (If a pre-certification is required, your insurance
company will guide you in this process. Please record the
pre-certification number in the space below.)