We are dedicated to providing you with the best mental health care. We believe that your complete understanding of your financial responsibilities is an essential element of providing your care. As an adult, you are responsible for payment of services. For services rendered to minor patients, the parent(s) or guardian(s) of the minor are responsible for payment. The person who agrees to cover any expenses is called the “guarantor” and is designated before the patient is seen. For continuity of care, all staff at 4KidHelp, Inc. utilize a common electronic health record. By joining the practice, you agree to the Financial Services Agreement.
Use of Credit or Debit Card, or eCheck:
Financing health care is very complex. 4KidHelp participates in several insurance plans which are listed on our website. In general, there are 3 steps in you paying our bills with insurance:
Step 1: The office collects your copay (which is often on your insurance card), your deductible, or your coinsurance (percentage of the charge which you owe). We may also collect a deposit charge based on the estimated amount you will pay after the insurance company processes the claim.
Step 2: We send the bill to your insurance company. They take a while to tell us how much the allowed charge can be (based on our contract with them) as well as what they pay.
Step 3: We then bill you for the rest which is the allowed charge minus what you and the insurance company have paid so far.
This process requires a lot of our time that you never see and takes a while for the steps to complete.
We are now using a different system to collect payments for the services we provide. From this point forward every client of 4KidHelp will provide a credit card, debit card or bank account called an Authorized Payment Method (APM). This APM will be charged for all monies owed by the patient. If the patient is a minor child, the financially responsible adult will provide this information. We will keep the APM on file in a secure online vault which has bank level encryption. Once in the vault, even our staff cannot access the details of your financial information. Patients or the financially responsible adult must tell 4KidHelp within 3 days of any changes to the APM. The APM system will also attempt to update the vault information by itself electronically. Charges will be made after the service has been provided. If you do not have insurance, the full fee will be charged to your APM as listed below. The President or the Program Administrator of 4KidHelp may authorize exceptions to this policy. If exempted, the patient may be required to pay their balance before they can schedule another appointment, get a refill or receive any service from 4KidHelp.
All insurance plans are “plan specific” and pay differently. It is the patients’ responsibility to know their plan benefits. As a courtesy, we will submit charges to insurance companies on whose panels we participate. You can find that list of insurance companies which we accept under the page “Our Services”. If your insurance is not on that list, you are responsible for full payment at the time of service. We can provide you with a receipt which you may use to seek reimbursement from your insurance company, depending on plan benefits.
If we contract with your insurance company, we will charge fees from Step 1 and Step 3 above to the APM, along with fees for other services not reimbursed by your insurance company (as permissible by law and in accordance with patient contracts). These fees are listed below. You will receive a receipt in your email. We will no longer be sending out paper statements. You can track your charges through your insurance company’s EOBs (Explanation of Benefits).
If you have questions, please call:
• For questions about how much your insurance pays or has paid on charge(s) – your Insurance Company.
• For your account – our Billing Company, Unislink, at 330-725-3344
• For the reason for a particular charge – our office, 4KidHelp, at 330-433-1300 or use our secure texting service through your phone.
We reserve the right to collect a deposit charge at the time of service for an estimate of what you will owe. This amount might be lower based upon payments made by your insurance company. If the final amount due is lower than the deposit for that service, then the balance will be refunded to the patient through their APM.
If a patient pays on-site with cash, check, credit card or debit card, they will receive an electronic receipt through email. If you leave the practice or your case is closed, it can take several months to finally resolve your account. Any non-paid balance will be referred to a collection agency.
Charges for Services
4KidHelp values clear communication about all aspects of care including financial obligations. Unfortunately, your insurance company does not cover all the costs of your care. For clarity, and in keeping with the No Surprises Act, we are listing the maximum fees for services along with fees for these extra services. We will charge for services not covered by insurance as permissible by law and by the contract with your insurance company. Please be aware, if an appointment is missed without adequate cancellation, you will be charged directly – your insurance does not pay for any missed appointments..