
PATIENT CENTER
Self Pay
Initial Psychiatric Evaluation $250.00
Follow-up medication management services $100.00–150.00
Supportive psychotherapy services $115.00–150.00
We accept cash, check, HSA, and credit cards (Visa, MasterCard, and Discover). All payments are due at the time of service.
Cancellations & No-Shows
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Appointments must be canceled or rescheduled at least 48 business hours in advance, not including weekends.
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I understand that I will be charged a late cancellation or no-show fee of $50.00.
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This fee is not covered by insurance and must be paid before the next session.
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I understand I will be discharged if I miss the initial appointment without 48 hours notice of cancellation.
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Dismissal from practice: if permitted by state law, you may be discharged as a patient from Free State Health and Wellness following 2 no-shows within a one year period (365 days).
Accepted Insurance Carriers
We accept the following insurance plans:
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CareFirst Blue Cross Blue Shield
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United Healthcare
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Cigna
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Medicare
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Maryland Medicaid
Out of Network
For out of network clients, a superbill is provided each month for submission to your insurance.
Gifting Policy
In order to uphold the highest standards of ethical practice and avoid any real or perceived conflicts of interest, Free State Health and Wellness maintains a strict No-Gift Policy. Employees, medical providers, and affiliated staff shall not accept any gifts, gratuities, meals, entertainment, or other items of value from patients, vendors, or industry representatives under any circumstances. We appreciate your gratitude.
