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SECTION 1: GOOD FAITH ESTIMATE
(Required Under Federal Law – No Surprises Act)
This Good Faith Estimate outlines the expected costs of services provided by AXXIUMS for patients who are uninsured or choosing not to use insurance benefits.
Estimated Services & Costs
New Patient Evaluation (60 Minutes)
$325
A comprehensive evaluation for psychiatric care, hormonal optimization, sexual health concerns, and integrative functional psychiatry treatment planning.
Medication Management Visit (15 Minutes)
$75
Brief medication-focused appointments for prescription refills, medication adjustments, side effect monitoring, and symptom check-ins.
Follow-Up Appointment (30 Minutes)
$175
Routine follow-up appointments for medication management, symptom monitoring, treatment adjustments, and ongoing care support.
Follow-Up Appointment (60 Minutes)
$225
Extended follow-up visits for ongoing treatment planning, medication management, psychotherapy support, hormonal optimization, sexual health treatment, or more complex clinical concerns.
Estimated Total for Initial Scheduled Service
$325
Estimated Cost for Ongoing Follow-Up Care (As Clinically Indicated)
$75–$225 per visit
These estimates are valid for twelve (12) months from the date provided.
Actual charges may vary depending on your clinical needs and services rendered.
This estimate does not include services provided by outside entities or additional treatment-related expenses such as:
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Prescription medications
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Laboratory testing
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Functional medicine testing
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Genetic testing (including GeneSight or similar testing)
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Specialty devices
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Supplements
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Hospital services
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Specialist referrals
These services may result in additional out-of-pocket costs.
Your Rights Under the No Surprises Act
You have the right to receive a Good Faith Estimate explaining the anticipated cost of your healthcare services if you do not have insurance or are choosing not to use insurance.
You may request a Good Faith Estimate before scheduling services.
If you schedule services:
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At least 3 business days in advance, you will receive an estimate within 1 business day
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At least 10 business days in advance, you will receive an estimate within 3 business days
Your estimate remains valid for 12 months.
If you receive a bill that is $400 or more above your Good Faith Estimate, you have the right to dispute the bill.
For additional information about your rights under federal law, visit:
CMS No Surprises Act Information
Or call 1-800-985-3059
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