Fees

1. Payment Method

Cauley & Associates requires a credit card from ALL clients to be on file in our secure online portal, Simple Practice. We accept credit cards, debit cards, health savings accounts (HSA) or flexible spending accounts (FSA) cards as payment. If you need to change your credit card or use a different method of payment, please let your therapist know at the start of the session.

If you have been referred to our office as a benefit of your employer for a limited number of sessions, you will not be charged a fee.

2. Do You Have a Sliding Scale?

Cauley & Associates does not offer a sliding scale fee.

3. Do You Take Insurance?

No. We are not contracted with any insurance companies. As an out-of-network provider, we maintain our commitment to confidentiality and allow you to drive the therapeutic process. What this means is that by seeing an out-of-network provider, you are not confined by the insurance company parameters regarding mental health. 

We can offer a superbill, in which you can submit to your insurance company for reimbursement using your out-of-network benefits, if you have PPO insurance.  To find out what your insurance may cover, call your insurance company and ask if you have out-of-network mental health coverage. HMO’s usually do not reimburse for providers who are not in their network.

We work with certain employers who provide benefits to their employees who cover the cost of a specified number of sessions. If you meet this criteria, please confirm the specifics with your employer or with our office.

Please call our main office if you need more information about the superbill process.

4. How Do I Discover What My Insurance Will Cover?

To find out what your insurance may cover, contact your insurance by calling the number on the back of your insurance card for the benefits department and ask if you have out-of-network mental health coverage. If you need to provide a “CPT code” or a “service code” please provide the following codes:

• Individual Therapy, Outpatient – CPT 90837
• Couples/Family Therapy, Outpatient – CPT 90847
• Our office zip code is 90210
• Our credentials are LCSW and LPCC

Other things you may want to ask about are:

• What your deductible is
• Do you have co-insruance
• How many visits are authorized per year
• Do you need an authorization for your visits
• Details on how to submit a superbill
• How long do you have to submit your superbill

5. Can Your Office Help Me Figure Out My Out-of-Network Benefits?

Yes. If you’re not sure what your out-of-network benefit might look like, contact our office directly, and we’re happy to walk you through what to ask your insurance company and how the reimbursement process works.

6. What Is Your Cancellation / No-Show Policy?

Cauley & Associates has a 24-hour cancellation/rescheduling policy. Please give us at least 24 hours notice to cancel or reschedule for any reason, to avoid the late cancellation or late reschedule fee, which is the full session rate. If you no-show for your session, you will be charged the full fee.

7. What is A Good Faith Estimate?

Under the law, as health care providers, we give clients who don’t have insurance or who aren’t using their insurance, an estimate of the expected cost of psychotherapy services. This is called a Good Faith Estimate (GFE).

A few things to know about your Good Faith Estimate:

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare service, including psychotherapy.
• You can request one in writing at least 3 business days before your scheduled service, or at any point during treatment.
• It’s a good idea to keep a copy of your Good Faith Estimate for your records.

If your final bill ends up $400 or more above your Good Faith Estimate, you have the right to dispute that charge, as explained in your estimate.

Please contact us with any questions. For more information, visit www.cms.gov/nosurprises or call 800-985-3059.