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AXXIUMS-Compassion AND ACCESSIBLITY COMES FIRST.

Fees, Insurance & Payment Information

Our Fees
We offer both self-pay and insurance-based services to help make care accessible and flexible for your needs. Please contact our Intake Coordinator for current rates, service options, and payment information.
New Patient Evaluation-$325
Medication Check Visit (15 min)-$75
Follow-Up Appointment (30 min)-$175
Follow-Up Appointment (60 min)-$225
Autism Or ADHD Screening-$600 

Self-Pay or Insurance, You’reWelcome at AXXIUMS

As a courtesy, AXXIUMS will help verify your insurance benefits prior to beginning treatment. Please note that insurance verification is not a guarantee of coverage or payment. We strongly encourage all clients to contact their insurance provider directly to confirm eligibility, copays, deductibles, authorization requirements, and behavioral health coverage.

In-Network Insurance
AXXIUMS works with select insurance plans. Network participation may vary by plan and service type.
Many insurance plans include copays, coinsurance, deductibles, or non-covered services, which remain the client’s responsibility. Any patient balance may be charged to the card on file once claims have been processed by your insurance company. Insurance processing timelines can vary from several days to several months.

By Axxiums participating few insurance plans, we are required to document and provide services that meet criteria for “medical necessity” as defined by your insurance company- this can include medication approval as well. This includes completing a clinical assessment and assigning a DSM-5 diagnosis when appropriate.



Out-of-Network Insurance
If we are out-of-network with your insurance plan, you may still be eligible for reimbursement through your out-of-network behavioral health benefits.
A SuperBill can be provided. Clients may submit this documentation directly to their insurance company for possible reimbursement or use companies such as Mentaya for reimbursement. Reimbursement rates and eligibility depend entirely on your specific insurance plan. 
 
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Additional Fees & Patient Responsibility

  • Prescription medications
  • Laboratory testing
  • Functional medicine testing
  • Genetic testing (including GeneSight or similar services)
  • Specialty devices
  • Supplements
  • Hospital services or ​Imaging or external diagnostic services
  • Specialist referrals
These services may create additional out-of-pocket expenses. Certain specialty tests may require self-pay, and your care team will discuss pricing options before you commit. Prescription and laboratory costs may be billed through your insurance if eligible. Copays, deductibles, and coinsurance may apply based on your insurance plan.
 
Cash-pay laboratory options may also be available

Patients are responsible for all applicable insurance deductibles, copays, coinsurance, self-pay laboratory fees, and specialty testing costs.
To support comprehensive assessment, treatment planning, medication monitoring, hormonal optimization, metabolic health, and overall wellness care, AXXIUMS partners with an extensive network of laboratory providers, with access to over 2,000 laboratory locations nationwide for convenience and continuity of care.

We've partnered with Mentaya, a service that streamlines getting reimbursed for your psychiatric and therapy sessions through out-of-network benefits.

     

    Mentaya is perfect if you:

    • Have out-of-network benefits

    • Feel overwhelmed by superbills and insurance

    • Have submitted superbills but failed to get any reimbursement

    • Simply want to skip the hassle of paperwork!

    

    Here's how it works:

    1. Sign up for Mentaya: https://mentaya.co/inviteclient/yPC22qlopqgsNhi0aS0I

    2. Our practice will enter your sessions into the platform.

    3. Mentaya submits the claim and handles any insurance follow-up.

    4. You get reimbursed by insurance!

 

    Mentaya charges a 5% fee per claim, which includes handling any paperwork required,

    dealing with denials, and calling insurance companies.


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 choose not to use insurance.
You may request a Good Faith Estimate before scheduling services.
If you schedule services:

  • At least 3 business days in advance, you will receive an estimate within 1 business day

  • At least 10 business days in advance, you will receive an estimate within 3 business days

This estimate remains valid for 12 months.
If you receive a bill that is $600 or more above your Good Faith Estimate, you have the right to dispute the bill.
For additional information, visit:
CMS No Surprises Act Information
Or call 1-800-985-3059

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