FINANCIAL POLICY

At Mindful Oasis LLC, we are committed to providing high-quality mental health services in a transparent and financially responsible manner. The following financial policies outline the expectations regarding payment, insurance, cancellations, and patient responsibilities.

Insurance Billing

• Mindful Oasis LLC accepts most major insurance plans and will bill your insurance provider directly for services rendered.
• Patients are responsible for understanding their insurance plan’s mental health coverage, including deductibles, co-payments, co-insurance, and any preauthorization requirements.
• As a courtesy, benefits may be verified before the appointment. However, it remains the patient’s responsibility to verify coverage, confirm eligibility, and review Explanation of Benefits (EOB) forms.
• If the insurance claim is denied or does not cover the full balance, the patient is responsible for the remaining balance.
• Insurance information must be provided at least 48 hours prior to an initial or follow-up visit, or the self-pay rate will apply until insurance information is verified.
• Claims will be submitted electronically through The Revenue Cycle Doctor. Patients authorize Mindful Oasis LLC to release necessary medical and financial information to their insurance carrier to process claims.

Cash Payments & Self-Pay Rates

• Patients without insurance or those choosing to pay out-of-pocket must pay at the time of service.
• Payment is due at least 24 hours in advance of scheduled appointments.
• Self-pay rates are as follows:
  • Initial Psychiatric Evaluation (55 minutes): $350
  • Medication Management Follow-up (15 minutes): $100
  • Medication Management with Psychotherapy (30 minutes): $150
  • Therapy Only, Individual (45 minutes): $200
  • Medication Management with Psychotherapy (45 minutes): $250
  • Document Preparation: $80 base fee + $80 per additional 15 minutes
  • Consultation with Third Party (20 minutes): $175
  • Medical Testimony: $400 per hour (including travel)

Credit Card on File

• All patients are required to have a valid credit card on file for automatic payment processing.
• The credit card on file will be charged for:
  • Co-pays, deductibles, and outstanding balances after insurance payments.
  • No-show and late cancellation fees.
  • Any remaining balance not covered by insurance.
• Patients must update their payment method to avoid disruptions in services.

No-Show & Late Cancellation Policy

• Patients must cancel or reschedule at least 24 hours in advance of their appointment.
• Failure to provide at least 24 hours’ notice (excluding weekends) will result in a $100 no-show/late cancellation fee.
• If an appointment is scheduled for Monday, it must be canceled by the same hour on the preceding Friday.
• No-show is defined as:
  • Missing an appointment without notifying the office.
  • Canceling an appointment with less than 24 hours’ notice.
  • Arriving more than 10 minutes late (in-person) or 5 minutes late (telehealth).
• If a patient accumulates three or more no-shows, Mindful Oasis LLC reserves the right to discharge the patient from the practice.

New Patient Reservation & Cancellation Policy

• A $50 reservation fee is required for all new patients. This fee:
  • Will be applied toward any co-pay, deductible, or self-pay amount.
  • Will not be refunded in case of a no-show or failure to complete paperwork.
• New patients must:
  • Complete all intake paperwork at least 48 hours before their appointment.
  • Upload a valid ID and insurance card via the patient portal.
• Failure to meet these requirements may result in appointment cancellation without a refund of the reservation fee.

Outstanding Balances & Collections

• Payment is due upon receipt of the statement.
• If an account is past due for 30 days or more, appointments will not be scheduled until the balance is paid in full or a payment plan is arranged.
• If an account remains unpaid, Mindful Oasis LLC may:
  • Engage a collection agency.
  • Take legal action to recover unpaid balances.
  • Disclose necessary financial details as required by collection processes.
  • Charge legal or collection fees in addition to the unpaid balance.

Insurance Changes & Patient Responsibilities

• Patients must provide updated insurance information immediately if coverage changes.
• If an insurance lapse occurs and is not communicated prior to an appointment, the self-pay rate will apply.
• Mindful Oasis LLC is not responsible for verifying ongoing coverage after initial verification.

Medicaid Patients

• New Medicaid patients who no-show, cancel late, or fail to complete paperwork will not be rescheduled.
• Existing Medicaid patients are allowed up to two no-shows. Additional no-shows may result in dismissal from the practice.

Payment Authorization & Agreement

By receiving care at Mindful Oasis LLC, patients agree to the financial terms outlined above. Patients acknowledge that:

• Insurance claims are filed as a courtesy but do not guarantee payment.
• They are responsible for any balance unpaid by insurance.
• Fees must be paid in full before services are rendered.
• Failure to pay outstanding balances may result in collections or legal action.
• All policies are subject to change.

By scheduling an appointment, the patient acknowledges and agrees to these terms.