Fees

Fees

     In general, my fee is $80.00 per 50 minute hour. I charge for my time and not the number of people in the meeting.
     
I accept most third party and HMO insurance. Due to contracts I have with these third party insurance plans the fee may vary slightly.
     Different insurance plans have different
co-pays, and deductibles.
     Often
prior authorization from your primary care physician or a plan representative may be necessary if you are planning on using your insurance to pay part of the fee.
     I encourage my clients who plan on using their insurance
to contact their insurance carrier to find out what mental health benefits they may have, and what co-pays and requirements apply.
     
I work for my clients and not for the insurance company. In recent years, most managed care companies have placed restrictions on the use of mental health benefits only for crisis services and only when the client has serious symptoms of psychiatric illness. I do not like to pathologize my clients to make them eligible for benefits. I believe that this often makes problems worse instead of better. Clients should realize that if they choose to use their insurance to pay for therapy, I must give them a psychiatric diagnosis and provide information to their insurance company to justify the insurance company's payment for the service as "medically necessary".
     
To maintain rigorous confidentiality, clients may wish to pay for the service out of their own pocket or through their Flex plan rather than to use their insurance. Psychotherapy is a tax deductible service if you meet the other IRS requirements for a medical deduction.
     I do some pro bono charity work in which I waive my fee entirely. I do not offer a sliding fee scale. There are limited slots available for pro bono work. If you would like to apply for such a slot, please let me know.
     Payment plans are available where clients can pay only part of their fee and carry a balance until it is paid off in monthly installments.
     I do not accept credit cards.
     I do not charge for missed appointments, but I do request 48 hours notice of cancellation except in the case of emergency. If someone has two missed appointments without 48 hours notice, I require an $80.00 deposit at the time of scheduling the next visit.

Speaking and workshop fees

     
I charge $150.00 per hour for speaking and workshop fees plus travel and expenses. This may vary depending on the type of speaking engagement, the amount of preparation involved, and the number of people attending.
     For certain nonprofit groups and churches I may waive my fee as I consider it an honor and a privilege to serve community groups.

Contact Information

Phone: 585-637-0040
Email: david@davidgmarkham.com