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insurance and fees
Blue Cross Blue Shield, United Healthcare, Cigna, Aetna, Humana, Medicare, Tricare.
We unfortunately are unable to accept any Medicaid products. Please be aware that if you have Medicaid or a Medicaid carve out plan, you will have to pay out of pocket/fee for service.
We are unable to accept employee assistance program (EAP), workers compensation, or single case agreements.
We are unable to provide Superbills for Tricare and United/Optum.
*Please call your insurance company to confirm your provider accepts your specific type of insurance as there are multiple carve out insurances. You are ultimately responsible for ensuring your own insurance benefits, deductibles, mental health coverage and eligibility but we are happy to assist with an eligibility check upon your request. You are responsible for payment if your insurance denies coverage after services are provided.
Out of Pocket Rates - PSYCHIATRIST / Nurse PRACTITIONER / physicians assistant
New patient visit - $200-$300 depending on providers’ level of training/experience
Follow up medication management visit- $140-$250 depending on providers’ level of training/experience as well as length of session
New patient primary care visit - $200, primary care follow up - $150
Please refer to our current Practice Policies form to view our current out of pocket rates.
Out of Pocket Rates - THERAPISTS
New patient visit: $120
45 minute therapy: $120, $90 if seeing LPC-A
Master’s degree candidate graduate counseling interns: $70 per 45-60 min therapy
Group therapy (60 min): $40 per session (no insurance accepted but can provide a superbill)
Couples and family therapy (60 min): $120
MISC FEES
Letters for school, court, disability, etc: will be billed to you at out of pocket rates based on time for your provider if not completed during scheduled appointments. Letters for emotional support animals: $50.
*Please note that for us to fill out disability paperwork, you must be established with our practice and consistent in treatment for at least 3 months and this must be completed during an appt session.
Credit card disputes / chargeback / bounced check: $50 fee
Portal message clinical response: Depends on time involved/refer to current practice policies
Fees for legal proceedings: Contact office for prevailing rates
Medication prior authorizations: $20 per medication out of pocket (unable to bill insurance)
NO SHOW / LATE CANCELLATION (LESS THAN 24 BUSINESS HOURS) FEES
We highly respect our clinicians’ and administrators’ time as well as the importance of patient accountability. Therefore, we are very strict about no shows/late cancellations. Note that Monday appointments must be cancelled on Friday (24 business hours).
Therapist / MA/PhD level -$120; therapy intern - $70; LPC-A therapist - $90; Couples therapy - $120
MD/APRN/PA $140-$250 depending on appointment type/length for no show or if appointment is canceled or within less than 24 business hours. For Monday appointments, we require you to cancel the Friday prior to your appointment.
Group therapy: $40 if canceled less than 24 business hours in advance
If you cannot make your appointment in person, we always encourage you to have a virtual visit to avoid a no show/late cancellation fee.
pay your bill
Call (843) 800-1303 and you can pay via Square over Onpatient, ClearGage over text, or over the phone. Our strict policy is to have an updated credit card on file and our billing staff charges automatically your copay or your deductible to cover the appt fee if you are being seen over telemedicine. Payment is due the day of service.
If you disagree with a charge, please contact our billing team prior to disputing it with your bank or there will be a $50 chargeback fee as outlined in our policies. We are charged this fee by our credit card processor, ClearGage.
Please send us a portal message if you require a detailed receipt or superbill.
If you require a short term payment plan, please email billing@sweetgrasspsychiatry.com to be set up with our payment plan software, ClearGage.
We are sensitive to our patients’ financial constraints, however patients who are unable to pay their bill / set up a payment plan will be referred to the Charleston Mental Health Center as a more affordable option.
BILLING QUESTIONS
We use a 3rd party billing company. You can reach them directly at billing@sweetgrasspsychiatry.com. Kindly allow 72 hours for their team to carefully review all your transactions and ensure you have provided us with your up to date insurance information.
You may also message us over Onpatient via Sweetgrass Admin or call (843) 800-1303 but you will not be able to reach our 3rd party billing company directly through this number.