Payment and Cancellation Policies
PAYMENT POLICY
How do I make a payment?
Your provider securely processes payment by debit card, credit card, FSA, or HSA card at the time of your appointment. Payments can be made via the Client Portal.
Who is responsible for payment?
Parents of minor-aged youth clients are 100% responsible for payment. Those who use insurance plan benefits are responsible for any amount not paid by their insurance provider.
When is payment due?
Payments are made at the beginning of the time of service.
What type of payment do you accept?
Cash, credit cards, FSA, HSA, and debit cards are accepted and made online via the Client Portal.
FSA and HSA cards can be processed as long as they are MasterCard or Visa.
Do you charge extra for credit, debit, FSA, or HSA card processing?
No.
CANCELLATION POLICY
Do you charge for missed or late appointments?
Yes. Please give at least 48 hours’ notice when canceling so your appointment time can be offered to another family. Appointments canceled with less than 24 hours’ notice will be charged a missed appointment fee at the full rate of service.
Will you send an Appointment reminder email?
Yes. After you’ve completed the new client forms in the online Client Portal and authorized appointment reminders, we send them via text, email, or both 48 hours in advance.
Payments and the Client Portal
All payment happens inside the secure Client Portal, which is also where you complete intake paperwork, schedule appointments, and send HIPAA-compliant messages to Dr. Bush. A card is kept on file and charged at the time of service, so there is nothing to handle at the start or end of a session.
Using FSA and HSA funds for therapy and testing
Psychotherapy, diagnostic evaluation, and psychological testing are eligible medical expenses under a flexible spending account or health savings account. FSA and HSA cards are accepted as long as they run on the MasterCard or Visa network, and there is no added processing fee for using one.
How insurance affects what you owe
Dr. Bush is in-network with Aetna, Lyra Health, Regence BlueCross BlueShield, First Health, and Reliant. With those plans you are responsible for your copay, coinsurance, and any amount your plan does not pay. Out-of-network families pay in full at the time of service and receive a superbill to submit for reimbursement. Full details are on the rates and insurance page.
Why there is a late-cancellation fee
Appointment times are reserved for one family. When a session is canceled at the last minute, that hour usually cannot be offered to another family who is waiting. Giving at least 48 hours’ notice lets someone else use the time and keeps your own place in a consistent weekly slot — which matters, because consistency is one of the stronger predictors of progress in child and adolescent therapy.
Frequently asked questions about payment
Can I pay with cash or check?
Payment is processed online through the Client Portal by debit card, credit card, FSA card, or HSA card.
Who is billed when parents are separated?
The parent who brings the child to services is responsible for payment. Reimbursement arrangements between co-parents are a private matter and are not handled through the practice.
Is there a fee for card processing?
No. Credit, debit, FSA, and HSA cards are all processed at no additional charge.
What if I need to reschedule?
Reschedule through the Client Portal or by secure message with at least 48 hours’ notice, and there is no fee.
Questions about billing
Send a message with any billing question, or read the FAQ for more about getting started.