Rates

RATE & INSURANCE

Dr. Danny Holland will list the insurance companies he is in-network with for psychotherapy as information becomes available.  All other services are cash-pay at the time of services and considered “out of network” by your insurance company.

Before your first session, it is important to contact your insurance carrier to check the status of your policy’s mental health coverage. You would want to ask them:

• What are my mental health benefits?
• What is the coverage amount per therapy session?
• How many therapy sessions does my plan cover?
• Do I have a deductible and has it been met yet?
• Am I covered for telehealth video sessions?
• How much does my insurance reimburse for an out-of-network provider?
• Is approval required from my primary care physician?
• Is a preauthorization required?

Payment

A credit card is kept on file in our HIPAA compliant patient portal that is used for payment of services or copays during each session.  An HSA card could also be stored and used if you prefer.  Payments can also be accepted by check for face-to-face sessions.

 

Cancellation Policy

Your appointment is a time that your provider has reserved exclusively for you.  We ask that if you need to miss your appointment for any reason, you let your provider know through their chosen method of communication with at least 24 hours notice.  If you cancel within the 24 hours prior to your appointment or do not show up for your scheduled therapy appointment, you will be responsible for the full cost of your provider’s session fee. In the event of an unforeseen emergency, your provider may try to reschedule you within the same week if they have availability.

 

Court Costs

Please be aware that if your provider is subpoenaed by any party and forced to come to court, a fee of $1,800 (per day in court) must be paid in full 7 days prior to the court date, and is non-refundable upon continuation of the case or dismissal of the subpoena.

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FAQ About Rates and Insurance

What is a Superbill?

A superbill is not a claim, an invoice or receipt.  It is a document that provides you with the information necessary for you to work with your insurance company to seek reimbursement for health expenses that you have incurred.

Help with seeking reimbursement

While there are several third-party apps and website that assist with these types of claim processes, As a courtesy to our patients,

We have partnered with Reimbursify for you to easily submit your claims for out-of-network health insurance reimbursement from your smartphone.  Download the app and get your first claim free.   Click here for more information.

Are there any benefits of paying out of pocket instead of using my insurance?

Many patients enjoy the following benefits of paying for services out of pocket:

• There is no diagnosis required for services.
• Increased Privacy. Counseling has another level of privacy when no insurance company requests notes and information.
• Increased number of providers to choose from – some therapists and prescribers have 3-9 month waiting lists. Many providers are so overwhelmed with insurance referrals the  need that they are unable to even respond to phone requests.  This is less likely for cash-pay providers.
• Greater customization of care delivery – creative, more intensive, expressive services can be integrated when care delivery is not limited by an insurance company.

Why are the rates for services so different?

This practice is a small practice known for innovative, excellent, and effective services.  It is a place our clientele feel at home; where one can safely and discreetly connect to experience growth and meet their goals.  We have highly invested, trained, and effective providers in their respective specialty.  When you pay for services at this practice, you are paying for a higher level of investment, training, and experience.  Coast to Coast Counseling & Wellness is not a “therapy center” with many mental health generalists, but rather a small unit of specialists who are highly prepared to meet the very specific needs of their clientele.   Our providers do not consider their formal education, licensure, and certifications the end of their preparation, but rather the starting point of the excellence they each strive for. They each regularly engage in advanced training within their specialties to remain highly effective at what they do in today’s world.

Why do you not take my insurance for some services?

There are a few elements necessary for you to use your insurance for mental health services.  Insurances only typically cover what they consider to be medically necessary treatment that is related to a clinical mental health disorder.  Some of our providers do take some insurances for psychotherapy provided in those scenarios.  For the insurances we are not in network with, superbills are provided for you to seek out of network benefits to be reimbursed in part for your out-of-pocket expenses for services.

Wellness-related preventative care, couples counseling, pre-marital counseling, and other similar needs may not meet that criteria.  For the couple who wants to laugh together again, improve their intimacy, and develop healthier communication and strengthen their bond, insurance view their proactive attempts to prevent damage in a similar way as they view elective procedures. In situations where clinically significant symptoms are not present, we can focus our innovative, customized, and highly effective services toward equipping, encouraging, educating and strengthening you to meet your goals.

I have a diagnosis and need medication management.  Is the insurance process the same?

Dr. Jamie Holland’s treatment has been described as relational, accessible, and effective.  She provides specialized care from her extensive training and education.  She strives to develop a solid relationship with her patients, and be accessible for periodic concerns, while thoroughly assessing and customizing a therapeutic and medication treatment plan that involves meeting your needs.  She thrives in providing care and education to equip, educate and empower per patients.  She is supportive and caring, taking psychiatric interventions beyond the norm, into a place where patients feel heard, supported and safe.  Providing her services as cash-pay, Dr. Holland is able to customize her interventions to provide you with the interactions necessary for her to get to know you, your story and explore solutions to effectively come along side you to and support you on your journey.  Dr. Holland assists her patients by providing a superbill and connecting them with Reimbursify to assist them with accessing any out of network benefits they are eligible to receive.

Questions?

Contact us today if you have more questions or if you would like to discuss what we can do for you!

Good Faith Estimates

Patients who don’t have insurance or who are not using insurance have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost

The “No Surprises Act” went into effect January 1, 2022 requiring health care providers to give a “Good Faith Estimate” to their patients who are uninsured or utilize self-pay-for-services. The Good Faith Estimate (GFE) gives patients an idea of what they can reasonably expect to pay for items and services to treat the diagnosis they are being seen for. The estimate is based on information known at the time the estimate was created. A GFE does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur and will be provided a new GFE should this occur.

A GFE is not currently required for patients using in-network or out-of-network insurance benefits (i.e., submitting superbills for reimbursement).  If you do not have insurance or are choosing not to use your insurance:

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.
• Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
•  Understand that you can dispute a bill your receive if it is at least $400 more than your Good Faith Estimate.
•  Please save a copy or picture of your Good Faith Estimate.

Coast to Coast Counseling & Wellness understands that every individual has a unique mental health journey, influencing their scope, length, and frequency of services. Many things can influence those factors such as:

• Daily life challenges and circumstances
• The nature of specific challenges and how they are addressed
• Support and strengths
• Treatment compliance
• A patient’s schedule
• A provider’s availability
• Personal finances

You and your provider will continually assess your needs and progress to determine any necessary changes to the appropriate scope, length and frequency of services, to determine when treatment will be complete and/or a new “Good Faith Estimate” is necessary.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises .

Consumers covered under (i) a fully-insured policy issued in Virginia, (ii) the Virginia state employee health benefit plan; or (iii) a self-funded group that opted-in to the Virginia protections are also protected from balance billing under Virginia law. Visit scc.virginia.gov/pages/Balance- Billing-Protection for more information about your rights under Virginia law.