Fees

Insurances we accept:

  • Blue Cross/Blue Shield                                         

  • United Healthcare (UBH)

  • Optum

  • Aetna

  • Humana  

  • Cigna

  • CHIPS - CHC and United HC

  • Tricare

  • Medicaid - CHC and United HC

  • Medicare

  • Cigna HealthSprings

SELF PAY FEES

Dr Hirsch's session fee is $135.00 for each 45-50 minute therapy session, unless otherwise negotiated.

Other therapist fees may vary, including some sliding scale, $80.00 - 90.00 per 45-50 minutes session

 

SELF PAY Psychological Testing  - $150.00 per hour.

  • Because psychological testing is personalized and there are hundreds of different testing materials to be given to patients, the provider will meet with the patient on the first visit to collect history/background of the patient.  Based on the information the provider collects they will determine which testing protocal (materials) will be given.  During the meeting the provider will also go over pricing and a plan so a diagnosis can be determined.

  • Initial appointment for Psychological Testing for SELF PAY:  $150.00

  • ADHD testing  $450.00

  • Evaluation for Law Enforcement (L-3 form) $150.00

$45.00 NO SHOW FEE

We reserve a scheduled time for you, WE DO NOT DOUBLE BOOK, we require 24 hours notice if you cannot make the appointment and need to cancel or reschedule. If 24 hour notice is not given, there will be a $70.00 charge for the missed appointment, which is not covered by insurance. A credit card number is required to schedule an appointment with Dr Hirsch, unless other arrangements are made.

If you NO SHOW without calling ALL future appointments will be cancelled.

We request that payment be made in full at each session unless we agree upon other payment arrangements.  Our office staff will verify your benefits prior to your appointment, however you are encouraged to verify your benefits by calling the number on your insurance card to increase accuracy and understanding. Please be aware that verification of benefits is not a guarantee of payment. Benefits are quoted with the most current information available at the time of verification. If for some reason your insurance company does not pay benefits, you will be responsible for payment in full.  you are responsible for informing our office if your insurance changes.

There may be charges for other professional services you may need THAT ARE NOT COVERED BY INSURANCE.

 

Other services include but not limited to:  (Minimum charge $25.00)

  • Letter writing

  • Report writing

  • Telephone conversations lasting longer than 10 minutes, billed as minimum of one hour.

  • Consulting with other professionals, with your permission, outside of your appointment time.

  • Preparation and copying of patient records. (We MUST have a written request signed and dated.)

  • Treatment summaries

  • Completing forms outside your therapy session.

  • And time spent performing any other service you may request of us that is not covered by insurance.

 

ANYONE 18 YEARS OR OLDER MUST PERSONALLY CALL TO SCHEDULE THEIR OWN APPOINTMENT

Your confidentiality is important to us!  We are HIPAA compliant.

We are in network with many insurance companies. If you don't see your insurance company listed, please call to find out if we are a preferred provider at (281)332-3852. Payment may be due at the time services are rendered.

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1025 E Main St Ste 100

League City, TX 77573

Phone: 281-332-3852     Fax:  281-557-7518

Email:

Office Manager Dixie

Office Clerk:  Katie

​© 2016 Hirsch & Associates