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INSURANCE Information
 

 

PAYMENT POLICY
 

 

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INSURANCE POLICY:

SMart-CENTER does not accept any medical insurance plans.

We have chosen not to become members or providers of any insurance plans, as our experience has shown that these health plans may not necessarily provide the most comprehensive care.

Our professional services are considered OUT OF NETWORK and we are considered OUT OF NETWORK PROVIDERS.

For families who have this type of insurance coverage, you will receive reimbursement for a percentage of your payment for SMart-Center services. Reimbursement is based on the TYPE of coverage. Every plan is different.
 

If you are unsure about your insurance coverage, we suggest that you contact your insurance carrier and inquire about OUT OF NETWORK coverage.  

The greater your out of network coverage allowance, the more reimbursement you will receive back from your insurance company.

Payment is expected at time of service for in-person consultations. For teleconferences, payment is expected at least 24 hours in advance of consultation. 

We do supply itemized receipts with diagnosis and treatment procedure and codes for submission to insurance companies.
Families are responsible for mailing in receipts  and claim forms (provided by insurance company) to their insurance carriers.

 

SINGLE CASE REVIEWS:
For families who are trying to get insurance companies to accept the Smart Center as in-network providers,
it is the parent's responsibilities to supply the letters and information to the insurance company. 

If  insurance companies REQUIRE a single case review and REQUIRE our administrative staff to interview with your insurance company (typical length of time for phone call is 30 min), there is an administrative fee for this.  Fee: $50/30 min for our parent support coordinator to speak to a representative from your insurance company.  Parents should provide ALL contact info for insurance company representative, insurance information, etc.

If Dr. Shipon-Blum is requested to speak to the insurance company this is considered a professional service that will be scheduled and billed appropriately.

 



 

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PAYMENT Policy
 

 

For In-person consultations:
Payment is expected at time of service.
We accept cash, money orders, or check for initial consultations.

 For Teleconferences:
For new patients, payment (and assessment forms) must be received TWO weeks prior to appointment.
We accept cash, money order or check for initial appointments.

For established patients, you will receive a bill for services after your teleconference.
 

For Treatment Plans (School. Home, etc)  75% due at initial consultation, 25% due prior to treatment plan being released.

 

NOTE:      

 Final Reports cannot be released until full payment is made. No exceptions can be made 

 

 RETURNED CHECK POLICY: All returned checks are subject to a $25.00 return check fee.
We reserve the right to restrict future transactions to cash or money order.   

      Late Payments: Incur a $15 per month late fee for follow up consultations.
 


 

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