Michael R. Kandle, Psy.D. Licensed Psychologist

Fees

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Therapy Session Fees
 
Treatment sessions are structured to be between 45-50 minutes in length and are billed at $110 per session.  However, many clients have insurance plans with whom I have a different contract rate.  Under these circumstances, clients are only responsible for the deductible and/or co-payments specified by their insurance plan.  My policy is for clients to pay their portion of my fee at the time of their appointment.  While I will submit claims to your insurance company, I do not send bills out to clients.
 
Self-Pay Option
 
If you do not have insurance or choose not to use it, then I will discuss a self-pay fee option with you.  This may be my full fee or a reduced fee depending on financial circumstances and the nature of the services being required.
 
Other Services
 
There are certain services that I may be called upon to provide that will be charged at different rates (ie. court appearances, depositions, school meetings, report preparations).  These services are not typically covered by insurance plans, and these costs will be discussed and ageed to prior to the services being provided.
 
Missed Appointments and Late Cancellations
 
My fee for missed appointments and cancellations with less than 24 hours notice is $70.  This is the least desirable fee to pay (and to collect) because it is wasteful to both client and therapist.  Nonetheless, this is a very important fee to be aware of and respect.  It is necessary in order to minimize lost treatment time and a loss of opportunity for me to earn my income.  When appointments are missed or cancelled on short notice there are three parties who suffer a loss; the client, other clients on a waiting list for appointments, and myself.
 
In exchange for my clients respecting my policy about missed appointments and late cancellations, I will be respectful and fair regarding various circumstances where appointments need to be changed.  I do not charge clients this fee when the weather conditions are clearly hazardous.  If an emergency comes up that requires a change on short notice, I will offer the opportunity to fill an open spot in my schedule if there are any available and waive this fee under those circumstances.  Similarly, if you need to cancel or re-schedule on short notice and I can find another client to take your cancelled time slot, I will waive this fee.
 
Accidents, emergencies, illnesses and childcare misfortunes are common reasons for clients to need to cancel or re-schedule on short notice.  I am sympathetic to these circumstances because we all encounter them and they are beyond our control.  However, if I were to routinely waive my fee under these circumstances I would suffer significant losses myself.  Because time is limited and it is the only opportunity I have to make my living, I need to preserve it.  If you have concerns about the likelihood of needing to make short notice cancellations, please discuss this with me at the outset of treatment.