Mona Venzon Rice, MD – Financial Policy

Fee Schedule for Visits

Description

Fee

New Patient Evaluation (50-60 minutes)

$250

Follow-up Appointment (20-40 minutes)

$120

Payment and Insurance Information

Dr. Rice is currently in-network with NC Health Choice and NC Medicaid, but out-of-network with all private insurance.

It is important that you understand your insurance benefits. Your insurance is a contract between you and your insurance provider, and there is no guarantee of benefits. Your insurance company will only pay for services covered under your contract. We urge you to contact your insurance company before your appointment to ask about out-of-network claims and reimbursement for psychiatric services.

We accept payment of fees and co-pays in the form of cash, checks, VISA, Mastercard, Discover & American Express. Checks should be written out to: “Mona Venzon Rice, MD, PC.” There is a returned check fee of $35.00.

The following information is for those with private insurance: Dr. Rice is currently not a participating provider (“in network”) with any private insurance plan. She accepts direct / fee-for-service / out-of-pocket payment for all her services. Payment is due in full at the time of your appointment. If you wish to file the expense as an “out of network” claim with your insurance, we will provide you with an invoice / superbill that you can submit to your insurance company for reimbursement. We will not file the claim for you.

Unpaid Balances

If we are unable to collect on a balance owed, legal means may be used to secure payment, which may include hiring a collection agency. Unless the balance is paid, Dr. Rice may be unable to continue treatment.

 

Missed Appointments

A 2- business-day notice to cancel or change your appointment is required. No-shows, missed and late cancellations (less than 2 business days before the scheduled appointment) may be charged according to the schedule listed below. Patients with NC Medicaid and NC Health Choice will not be charged these fees; however, after multiple missed or late-cancelled appointments, Dr. Rice may end their treatment with her.

 

Fee Schedule for Missed Appointments

Description

Fee

Missed Appointment / No Show / Late Cancellation– New Patient Evaluation

$190

Missed Appointment / No Show / Late Cancellation– Follow-up

$90