Payment of the full fee owed is due at the time of your therapy appointment, and the credit/HSA/FSA card on file will be charged unless you notify me of another form of payment.
Cancellation Policy
Please be advised that I have a 24-hr cancellation policy. The card on file will be charged for the full session fee for no-shows and cancellations within 24 hours of the scheduled session.
I am currently an In-Network for Provider for the following:
OhioHealthy Preferred
OhioHealthy Network
I do not participate in any other insurance panels at this time; however, if you receive Out-of-Network (OON) benefits from your insurance company, I will provide you with a detailed billing statement which will allow you to seek reimbursement from your insurance carrier under outpatient mental/behavioral health benefits. This documentation (called a superbill) will include a diagnosis, billing codes, amount paid, and type and date of service.
As each insurance plan is different, I cannot guarantee that you will be reimbursed for all or part of your treatment, and all claim submissions are submitted solely by the client. Please contact your insurance company to find out exactly what will be covered.
I accept the following payment methods:
The card on file will be charged at the end of each session. Should you wish to update the card, you may do so through your client portal or by contacting me (via phone or email).
In accordance with the Federal No Suprises Act, you have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services prior to beginning treatment. Currently, this information is relevant only for clients who are paying out-of-pocket for services and are not submitting costs to any health insurance plan.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.
Holcomb Counseling Services, LLC
7650 Rivers Edge Drive Suite 140, Columbus, OH 43235, United States
Contact Me by Phone: 740-564-3491
