Please read below before scheduling an appointment.

Instructions

1. I currently am accepting only credit/debit cards payments (Stripe via Simplepractice).

2. I do provide superbills to clients, your insurance company will typically reimburse you 70-80% cost of session. Your out-of-pocket expense is typically $20-30.

3. When scheduling a first time appointment, there are only two options, 1) an initial consultation which is free and 15 minutes, and 2) an initial engagement, which is an assessment, this session is $100 and is paid before the session commences.

4. After the initial engagement session all Individual sessions are $100 and Couples/Family are $125.

5. All consent forms and documents pertaining to your portal need to be filled completely and submitted before session start. Credit card information is only needed if you schedule an assessment and/or psychotherapy session.

6. All documents and communication can continue via SimplePractice portal, when you give me permission I can have direct and secure access via text with you after sessions, email via maxim@wellbalancedmen.com is the best method of contact.

7. If you are currently residing in Massachusetts or Florida, only in these states you have potential to be covered for outpatient behavioral health services by your health insurance carrier, every other state you will need to discuss with your health insurance provider.

8. If you are outside these two states, I will schedule you via another code, which is behavioral health coaching, you will need to and expect to pay 100% of the session rate, as this most likely will not be reimbursed with your insurance carrier. 

9. After registering with Simple Practice, you will be required to sign all consent forms, also send is a fee schedule form to inform of the cost of mental health services with Maxim M. Arbuzov.

Good Faith Estimate

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 1 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.

  • 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 800-985-3059.