All visits at Madison Psychiatric Associates are by appointment only. Patients without scheduled appointments will not be seen by their clinician. If you need to cancel an appointment, please do so at least 24 hours in advance. If you cancel in less than 24 hours, or do not attend a scheduled session, you will be charged a late cancellation fee as outlined in below. A total of 3 late cancellations and/or missed appointments may result in termination of services. If you arrive late for any appointment, please be aware your appointment will be shortened. If you arrive more than 10 minutes late for a 30 minute appointment, or more than 20 minutes late for a 45-60 minute appointment, you may be asked to reschedule the appointment.
If you have not attended an in-person appointment within the last 6 months, per clinic policy, services will be terminated and your chart will be closed. Should this occur, transitional medication refills and emergency care will be provided for 30 days. Reopening a chart may require a discussion with the clinician to reestablish care.
Psychiatry Late Cancellation Fees:
An initial (90) minute psychiatric Intake appointment is billed $200.00
A sixty (60) minute psychiatric appointment is billed $150.00
A forty-five (45) minute psychiatric appointment is billed $100.00
A thirty (30) minute psychiatric appointment is billed $75.00
Therapy Late Cancellation Fees:
Any late cancelled therapy appointment is billed $75.00
We understand that emergencies and illnesses do occur and we will review any situation that arises on an individual basis
Self-pay patients are required to either pay for their services at check-in or to maintain a credit card on file to be run at the end of the month.
Copays are due at check-in unless the patient maintains a credit card on file to be run at the end of the month.
Madison Psychiatric Associates will seek reimbursement through insurance or other payer sources, you (and/or the listed Guarantor) are ultimately responsible for payment for these services, or may be responsible for a co-pay, as designated by the payer source. You agree that it is your responsibility to provide accurate and updated information regarding alternate payer sources (such as insurance) to Madison Psychiatric Associates and assist the agency with recouping filed claims as necessary. In the event that a claim is denied, you understand that you will be responsible for the payment for service.
Should your insurance carrier change, notify our billing department immediately. Insurance changes may impact whether you are able to continue care with your current provider. This could be due to the provider not being contracted with your new insurance, their caseload of a specific insurance carrier may be full, or your new policy may not provide mental health coverage.
If you do not have insurance, you understand, and agree that it is your responsibility to pay any and all fees associated with the treatment decided between you and MPA.
Patients must contact our office with 7 days prior notice for prescription refill requests for controlled substances. Refill requests for any other medication should be made by calling the pharmacy directly with at least 48 business hours’ notice. For any medication refill a follow up must be scheduled. New medications and complex medication changes should be discussed in-person at appointments with the psychiatrist, when possible. An early medication refill or replacement prescription will only be provided once; the patient must call to provide the Psychiatrist the reason for the request.