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 3825 Market St, Suite 4
 info@wmhwc.com
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OUR TRANSPARENCY
Financial Policy
This Financial Policy aims to provide our patients with information regarding their financial responsibilities when receiving services at Wilmington Mental Health. We ask that you keep us informed of any changes related to your insurance, payment information, and demographics to prevent being in default under this agreement.

All patients 18-year-old and older are required to provide a picture ID (school ID, military ID, etc.) for verification and to prevent insurance fraud.

  • Payment is expected at the time of service.
  • Patients are responsible for the payment of all services rendered by Wilmington Mental Health providers and affiliates.
  • Any deductible, co-insurance and co-pay balances are the patient’s financial responsibility.
  • We may charge an extra $5 for copayments not paid at the time of service.
  • We reserve the right to reschedule, cancel, and/or terminate services due to payment noncompliance.
  • Any “promise to pay” not satisfied by third-party vendor is ultimately the patient responsibility. Patients are responsible for collecting any reimbursement directly from the vendor.
  • We ask patients not to discuss account balance or financial information with their provider or medical staff.

Rate
Initial Intake Assessment
$250
Initial Psychiatric Evaluation
$300
Initial Medical Evaluation
$150
Psychotherapy Session 50-52 min approximately
$130
Family/Couples Therapy
$150
Group Therapy
$50
Crisis Intervention (In Person/Virtual)
$200
Rate
Follow-up treatment - Psychiatric
$125
Follow-up Treatment – Medical
$100
Lost Prescription / Prescription Refill
$25
Medical Record Requests (per page)
75¢
No-Show/Late Cancellation
$100
Drug Screens (instant drug test)
$15
Telephone consultations over 15 min
$100
Rates and fees will be discussed before treatment starts. Rates may differ depending on the therapy format.

  • Patients are responsible for understanding their insurance plan and benefits.
  • If we participate with an insurance plan, we will verify the network benefits and submit claims after each service is rendered; the insurance carrier will pay us accordingly. The amount the insurance will allow and pay for is determined by the insurance company and the policy the patient has chosen. Payment, however, is the patient’s responsibility regardless of insurance coverage.
  • Patients are expected to pay any balances on their account if a claim is returned as not paid.
  • Prior authorizations must be obtained by the patient directly from the insurance company prior to starting treatment.
  • Patients who do not carry insurance or provide updated insurance information will be treated as self-pay patients.

  • Telehealth billing information is collected in the same manner as regular office visits, and visit fees are the same for face-to-face visits and telehealth visits at Wilmington Mental Health.
  • If technology fails for a videoconferencing session, the visit will be moved to a phone appointment, and the patient will still be responsible for the full visit fee.

  • Almost all health plans will cover ordered lab services.
  • Patients are financially responsible for any clinical laboratory testing services not covered by their healthcare benefits.

  • WMH providers are out-of-network with some medical insurance companies.
  • Patients are responsible for submitting their own claims to the insurance company. Reimbursement is not guaranteed.
  • Insurance companies do not always reimburse for virtual appointments (even if a patient has out-of-network benefits).
  • Any request to provide an itemized receipt can take us up to a week to complete.

  • All over-due patient balances will be sent to collections.
  • All accounts sent to collections will be charged a $25 collection fee in addition to the account balance.
  • Any existing balance will be collected immediately after termination.
  • WMH will charge the credit/debit card on file for services not paid by the insurance company within 90 days from the day the service was rendered, including copays, deductibles and/or coinsurance.
  • Payment arrangement may be offered if the patient is able to demonstrate financial hardship.
  • Any current/future appointments may be cancelled until full payment is received.

  • We may send an automated appointment reminders via text 24-hours before any scheduled appointment.
  • Patients are responsible for tracking their appointment and keeping their scheduled appointment.
  • Appointments may be scheduled, rescheduled, or cancelled by phone, email, or text.
  • Except for emergency situations, patients are required to give 24-hour notice to cancel or reschedule an appointment.
  • WMH does not close due to weather unless it is a State of Emergency. Dire emergencies (i.e., hospitalization, accident, death in the family) are addressed on an individual basis.
  • Arrival to an appointment either in person or virtual should be made in a timely manner. Your appointment may need to be rescheduled if you arrive more than 15 minutes late to an intake appointment or follow up appointment.
  • Insurance companies do not reimburse for missed appointments; patients are responsible for the full cancellation fee.
  • Up to 2 missed appointments will be charged at $100.00 each ($50 for group therapy). After 3 missed appointments, we will bill the full amount for the service. Providers reserve the right to terminate treatment after three consecutive absences.
  • We may ask for a credit card to hold the appointment, otherwise services may be withheld, denied, or limited, depending on our discretion and the patient’s immediate needs.
  • We may ask for a $100 deposit up front when a credit card is not available. The amount will be refunded after termination, provided it has not been used to cover any late cancellation or no show.
  • A discharge letter will be sent in the mail after three consecutive cancellations or no show over what is recommended.
  • Any conflict of interest may result in the patient being automatically discharged from our clinic.

  • We bill the employer or the workers' compensation carrier for services rendered in worker’s compensation cases.
  • We will accept payments by the workers' compensation carrier as per contracted rates in worker’s compensation cases.
  • If payment is denied from the workers' compensation carrier, we may attempt to submit the claim to a private insurance, provided that we have this information on file.

  • If laboratory tests are prescribed for you, you are entitled to copies of the results.
  • Blood work or urine tests will be sent out to our partner medical laboratory for processing.
  • Patients are responsible for the cost of lab work if the insurance company does not cover it.
  • We offer genetic tests that analyze genetic variations in your DNA to inform your prescriber how you may respond to certain medications. The self-pay rate when insurance companies deny coverage should be no more than $330.

  • The parent or guardian who brings the patient into our office will be held financially responsible, regardless of the provisions in a divorce decree or who has custody or insurance.
  • We ask that current and updated information is provided on the child or person who will be receiving services.
  • We ask that any changes made to the insurance plan is communicated to us in advance.

  • Requests for documentation are granted on a case-by-case basis at the sole discretion of the provider.
  • Our providers generally do not release patient evaluations, progress notes or therapy notes. A summary of care will be provided to patients and/or third parties when medical records are requested.
  • Typically, several sessions and consistent engagement in treatment is required for a provider to feel comfortable providing documentation of any kind.
  • Professional fees for the review and preparation of a narrative summary of the patient’s medical record for each medical request shall be charged at a rate of seventy-five cents (75¢) per page for the first 25 pages, fifty cents (50¢) per page from pages 26 through 100, and twenty-five cents (25¢)for each page in excess of 100 pages, provided that we may impose a minimum fee of up to ten dollars ($10.00), inclusive of copying costs.
  • Documentation requests may include, but are not limited to clinical summaries of diagnostic impressions or treatment plans, comprehensive clinical evaluations or intake assessments, pre-bariatric surgery psychological evaluations, alcohol or drug mental health assessments, emotional assistance animal letters, letters to verify work absences, documentation to show attendance of mental health/psychiatric/medical appointments, disability paperwork, and summaries of clinical recommendations or impressions requested by outside medical professionals.
  • For FMLA, short term disability, emotional support animals, court documents etc., it is the patient's responsibility to discuss the issue in advance with the provider. Certain requirements may need to be met before the provider is able to fill out the forms.

  • We do not provide any automatic refills.
  • All prescriptions are given at the time of service and are written for enough medications until the next appointment.
  • Patients are responsible for scheduling follow up appointments in a timely manner such as they do not run out of medications.
  • Patients who run out of medication after cancelling an appointment or who lose their prescription must pay a fee to get a new prescription sent to the pharmacy.
  • For all refill requests outside of appointments, patients are required to have an upcoming appointment scheduled.
  • Prescription refills are called Monday through Friday, during regular business hours.
  • Covering providers do not refill controlled substances.
  • A partial refill until the upcoming appointment may be considered at the discretion of the provider, subject to a $25 charge.

  • You have the right to receive a good faith estimate explaining how much your health care will cost.
  • Under the law, we must give patients who do not have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.
  • As an out-of-network provider with some insurance companies, we may be permitted to bill for the difference between what the insurance plan agrees to pay, and the full amount charged for a service.

  • Any refund or credit issued to a credit card could take between 3-5 days to be credited back on the account.
  • In some cases, we may send a check by mail when processing account credits or refunds that fall outside of the time period allowed by our credit card processor to complete those transactions.

  • We accept several types of health insurance but do not accept Medicaid.
  • The parent or guardian who brings the patient into our office will be held financially responsible, regardless of the provisions in a divorce decree or who has custody or insurance.
  • We ask that current and updated information is provided on the child or person who will be receiving services.
  • We ask that any changes made to the insurance plan is communicated to us in advance.
  • Requests for documentation are granted on a case-by-case basis at the sole discretion of the provider.
  • Our providers generally do not release patient evaluations, progress notes or therapy notes. A summary of care will be provided to patients and/or third parties when medical records are requested.
  • We do not provide any automatic refills.
  • You have the right to receive a good faith estimate explaining how much your health care will cost.
  • Prescriptions, scheduling, or assistance during crisis cannot be performed during termination.
  • At a minimum, on-going patients are seen every three months. Patients who have not been seen for 6 months or more will be considered inactive.
  • We are not responsible for letters not reaching their intended destination if the patient has moved and does not notify us.
  • We cannot guarantee the availability of a schedule, treatment approach, or specific provider after the patient has become inactive or terminated.