Policies

You have the right to receive a "Good Faith Estimate" explaining how much your medical and mental health care will cost.  Under the law, health care providers need to give patients who don't have insurance, or who are not using insurance, an estimate of the expected charges for medical services, including psychotherapy and medication management services. 

You can ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.  Make sure to save a copy or picture of your Good Faith Estimate.  For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers.

All services provided are "out-of-network" for all insurance companies, meaning I do not bill insurances and only accept payment directly once services are rendered. However, certain insurances may reimburse out-of-network services. As such, I would recommend you complete the following steps to verify if you are elligble for out-of-network reimbursement:

• Call your insurance company to inquire about out-of-network benefits.

• You might wish to specifically verify whether your insurance plan covers virtual appointments using HIPAA-compliant telehealth software. 

• I will ensure you are provided with a "superbill," an itemized receipt, for the services provided that you can submit to your insurance company, if you are eligible for out-of-network services. 

This clinical practice does not bill to, or accept payments from, Medicare (primary or secondary) or Medicaid/MassHealth. Because of this, I am prohibited by law from serving individuals who have these insurances, even if they are able to self-pay.

This clinical practice fosters high quality behavioral health care within a welcoming and safe environment. Discrimination or violence of any kind will not be tolerated to either the provider or patient. If you have any questions or concerns regarding your treatment, please do not hesitate to contact Dr. Daniel Gonzalez at contact@dgpsychiatry.com. 

You also have the option of filing a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by visiting https://www.hhs.gov/ocr/complaints/index.html. There will be no retaliation from this clinical practice nor will your behavioral health care be compromised for filing a complaint.

Appointments must be canceled or rescheduled 72 hours (3 business days) prior to the appointment time to avoid paying a no-show/cancellation fee.

•  Patients who arrive more than 10 minutes late for an appointment, or patients who do not arrive for their appointment, will be considered a missed appointment and charged a no-show fee. 

• The no-show/cancellation fee is the cost of the session, and is due at the time of a missed session. 

• Multiple no-shows or late cancelations may result in discharge from the practice. 

• You are responsible for this fee regardless of whether you receive a reminder of your appointment. 

• The cancellation fee may be waived for emergencies or extenuating circumstances.

During your telehealth appointment, we will ensure that you are prescribed sufficient medication to last until your next scheduled appointment. In the event that a refill is needed between appointments, all attempts will be made to send in refills on the day they are requested. However, please allow 1 to 2 business days from the time of the request. All prescriptions will be sent electronically to your preferred pharmacy in the state of Massachusetts.