Fees

Each clinician at Modern Path sets their own fees and lists them on their profile. We believe clinicians have a right to earn a fair wage with the ability to engage in self care and pay debt incurred as a result of pursuing graduate level of education. As such we do not offer a sliding scale, however there may be times that a clinician is able to provide an adjusted fee to accommodate a specific need. We support the autonomy of the therapist to determine when and how often they can make this decision based on their own boundaries. Adjusted fees will not drop below $100.

We accept credit/debit or FSA/HSA cards with payment expected at the time of service. 

We maintain a cancellation policy of 48 business hours. If you cancel your appointment within 48 business hours, you will be charged a missed session fee equal to the clinician’s full fee.

Insurance

We acknowledge that the use of insurance can make counseling more accessible for many individuals but it often creates more barriers than access. We are not in network with any insurance carriers. We are happy to provide the necessary documentation for out of network claims. We are unable to guarantee that your carrier will accept our documentation. We do not guarantee that our team will meet the requirements your insurance carrier defines for out of network care. If you would like to use your out of network benefits we recommend that you call your plan, provide them with the credentials of the team member you are considering working with and verify coverage and out of network deductibles. We collect our fees at the time of service. Any tasks related to claims submission and reimbursement is the responsibility of the client. Please note that only therapy services are eligible for reimbursement by insurance.

You may be wondering why we we limit our interactions with insurance companies:

  • Insurance companies require a diagnosis and medical necessity, meaning that in their eyes there must be something wrong with you that needs to be fixed in order for you to access therapy. We do not view you in this way. You are a person with varied life experiences who is asking for support and engaging in self care. Therapy is for everyone, regardless of clinical presentation.

  • Insurance companies dictate how we can engage in the counseling process. There is no allowance for relationship counseling, sex therapy, art therapy, therapuetic and skills groups, hypnosis, or other specialty areas of counseling that we believe are necessary tools in our toolbox. We can’t be the best clinicians we can be if we are being told by an insurance company how to do our job.

  • Reimbursement rates from insurance companies are less than 60% of out of pocket fees. By accepting this rate of pay we would have to see double the number of clients per week and risk our own mental health and well-being, leaving us unable to provide quality services to our clients.

  • Reconciling insurance claims and payments is a part to full time job. We would have to hire additional administrative staff with no additional funding from the insurance company to support this position.

  • Insurance companies can retroactively deny a claim and take money back that they have already paid. This decision rarely has to do with the quality of care provided. More often it has to do with whether a note was written on time, signed or coded correctly, or other items that are administrative in nature. This a) distracts from our job of being a clinician and b) places us at financial risk.

If you have any questions about our choices in this area please contact us using the form below and we will be happy to discuss and help you find a clinician that takes your insurance if that is your only option.

No Surprises Act and Good Faith Estimates

Right to Receive a Good Faith Estimate of Expected Charges

Under the No Surprises Act

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.  

  • You have the right

    • to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

    • Make sure your health care provider gives you a Good Faith Estimate in writing at least one 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.

    • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

    • You have a right to a copy of your Good Faith Estimate 

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises , call 678-802-9355, or email info@modernpath.net.