Last Updated: October, 2023
CLIENT STATEMENT SAFETY
We aim to promote an environment of safety and wellness for all of its members. As a part of completing a comprehensive assessment, you will be asked about past and current thoughts or behaviors associated with suicidal ideation. If at any point there are concerns for your imminent welfare, we will work with you to ensure your safety. These steps may include reaching out to a trusted person in your life to provide support to you, making a safety plan with you, or contacting emergency medical services to obtain appropriate care for you during the time of crisis. If you are in imminent danger of harming yourself, please call 911 or the National Suicide Prevention Lifeline at 1(800) 273-8255. Suicide is not an inevitability, and we value your safety and wellbeing above all else.
All fees are due prior to the service provided
Initial Consultations: $250.
Medication management/follow-up appointments: $125.
Medication management and therapy: $200.
Medication refill requests outside appointment time- $25.
Missed appointments/Late Cancellations- $80.
Form Fees- $25.00-$80.00 dependent upon the time needed to complete the forms. Please note, we do not perform assessments or complete paperwork for disability claims.
Prior Authorization assistance: $25 per medication
MISSED APPOINTMENT POLICY
As soon as you schedule your appointment, you are confirming your appointment time. We are holding this date and time on your provider’s schedule. By not showing up, you waste valuable time that could be spent helping other clients who are in need. We send reminder texts and emails purely as a courtesy; it is still your responsibility to make the appointment. If you cannot make the visit, you have to let us know with at least 24 hours notice to avoid the late cancellation fee.
We hope you understand that we are not able to make excuses for this policy, as that would be unfair to other members who have paid missed appointments or late cancellation fees.
To accommodate emergency situations or special circumstances, fees may be negotiated or waived at your provider's discretion. Please bring it up at your next scheduled appointment.
Tardiness impacts the clinician’s abilities to properly consult and evaluate you. Please arrive 10 minutes before your scheduled appointment to allow for check-in. If you are late for your appointment, your provider will either schedule a second appointment to finish or they may have to reschedule completely. You will be responsible for the full cost of each appointment, including the original appointment. In consideration of other clients, sessions cannot be extended for late arrivals.
At Levitate, we strive to prescribe medications safely and effectively. Our clinicians follow practice guidelines developed to provide consistency as well as room for clinical judgment.
It is best for all involved to prescribe your medications at the time of visit when possible. The frequency of visits will be determined between you and your clinician based mainly on:
Routine check-ins, once a month or more (if needed) are recommended for the first few months, until you are feeling your best. Once clinically stable and if visits, labs, and reports are up to date, clinicians may provide prescriptions for non-controlled substances up to a maximum of 90 days at their discretion. After that, we will require a visit in order to continue your prescriptions. If you are so stable that you don’t need minimum visits at this level, please consider asking your primary care MD to prescribe your medications. Widely accepted community standards of care require that a client is evaluated by a medical professional at least once every 90 days to receive a psychotropic medication.
Please request refills at least 3 days before they are due. Before you request a medication refill, contact your pharmacy and ask them if refills are available. If refills have been authorized by the clinician, you simply have to ask the pharmacy to fill the prescription. An additional fee may be charged for emergency requests.
CONTROLLED SUBSTANCE POLICY
Controlled substances are regulated by the Drug Enforcement Agency (DEA). Prescriptions for Schedule II Controlled Substances such as stimulant medications require in-person appointments and no refills are allowed by the DEA.
In addition, where controlled substance prescriptions are indicated, federal law generally requires a prior in-person encounter between the prescribing practitioner and the client, with few exceptions. However, due to COVID-19, this law has TEMPORARILY been placed on hold until further notice.
If you have recently been prescribed a controlled medication from another provider, or from an emergency room, our clinician may not prescribe the medication without additional information, such as a discussion with the other provider who is prescribing.
For the above reasons and more, we only prescribe controlled substances on a MONTHLY basis. Our clinicians do not provide out of appointment refills. We highly encourage you to meet with your clinician on a monthly basis if being prescribed a controlled substance to avoid lapses in treatment.
Any requests for out of appointment medication refills will be reviewed on a case by case basis and will be done at the clinician’s discretion. There will be no additional medication provided for lost or stolen medications. Please note that it is illegal to share, sell, or buy prescription-controlled medication.
HIPAA COMPLIANCE GUIDELINES
Honoring the confidentiality of your medical records is one of our highest priorities. HIPAA, the Health Insurance Portability and Accountability Act, is a law designed to protect your private health information (PHI). HIPAA protects written, spoken, or electronic data as well as transmission of data within and outside of a healthcare facility (e.g. communication with an insurance provider). To that end, we have implemented key processes in place to help ensure HIPAA compliance.
Telemedicine is the ability to provide health related services digitally.
At Levitate, all visits with your provider are done online via a secure HIPAA compliant platform. Please note, after the Public Health Emergency due to COVID-19 ends, some patients may be required to do at least one in person visit with their provider to in order continue care with us.
Mental health treatment can come to a close for a number of reasons. In most cases, both you and your provider may determine that treatment is no longer needed. However, although rare, there are instances where we reserve the right to terminate treatment.
Your insurance company may limit your prescription options by refusing to cover certain medications. Please be aware that you usually have options to self-pay for your prescription.
A prior authorization is basically an effort on the part of your insurance company to make it tasking to secure the medication using your pharmacy benefits. For certain medications, without a prior authorization, your insurance company may ask you to pay directly for the medication, but ultimately this is your choice. Please remember that the prescription has already been sent in and is usually available for immediate pickup.
In order for a prior authorization to be completed by your prescribing clinician, you must complete a prior authorization request form. There is a $25 fee for each prior authorization request. The sooner you complete the form, the sooner the process can begin. Please be advised that there is nothing your clinician can do to speed up the prior authorization process.
If you have any other questions please contact us email@example.com