Financial Policy
Brickel and Associates, LLC is committed to providing the best care to all clients, without the intrusion of a third-party dictating service requirements. Therefore, we are a private pay, fee-for-service, out-of-network (OON) practice and we do not participate as a provider with any insurance company.
Prior to the start of any service, all fees will be made clear and agreed upon on our Financial Agreement form, and on a Good Faith Estimate form. Payment is expected, from client or responsible party, at the time services are rendered, and payment may be made by cash or check.
Payment by cash: If a cash payment is made to the therapist at the time of service, a receipt will be provided.
Payment by personal check: If a payment via check is made, the check should be made out to Brickel & Associates, LLC and given to the therapist at the time of service. A returned check fee of $25 will be charged for all returned checks. If a returned check is received on the account, the client will no longer be allowed to use personal checks as payment. Alternatively, the client may use cash or cashier’s checks as payment for services.
Appointment Cancellation:
If you are unable to keep an appointment, please notify the therapist immediately. You MUST notify the therapist two (2) business days (i.e., Monday through Friday) prior to scheduled appointment date/time. If an appointment is canceled or missed without two (2) business days notice, you will be billed the session fees for the time you have reserved.
Payment of your bill, including any cancellation fees incurred, is a legal obligation and will be collected accordingly.
Out-of-Network Insurance Claims
We do not participate with any health care/insurance plans. Therefore, if you would like to personally submit claims to your insurance company to use your out-of-network benefits, you may do so. We are aware that some insurance plans and policies, such as Medicare, do not accept out-of-network claims. Since we are not a Medicare provider, you must pay for any services out-of-pocket and will have to sign an agreement stating that you will not seek reimbursement.
If you are eligible to submit a claim for reimbursement, the therapist will provide a statement of receipt, which includes the necessary diagnostic information you will need to submit your claims, to you (the client). Whatever financial benefit the insurance company pays to you is your benefit.
Please note: Practice fees are based on clinician expertise, education, and experience. Because we employ practitioners with varying degrees and certifications, educational backgrounds, and years of experience, we have variability in fees. You are welcome to call our office at 703-518-8883 to learn more about the appropriate therapist fit for your needs, and the rates you can expect.
Practice fees are subject to an annual increase (on or about Jan 1st); however, notification of not less than 30 (thirty) days will be displayed in a conspicuous location in the office and given to all existing clients.
We do not provide therapy services as part of worker’s compensation claims. Please contact your referring doctor or worker’s compensation plan administrator for additional assistance.