Payment

Payment is due at the time of service. This includes co-pays, coinsurance, and any deductible required by your insurance. I accept cash, check, and credit cards (Visa, Mastercard, American Express, and Discover) for payment.

Insurance

I am an in-network provider with Regence Blue Shield, Premera Blue Cross, some out of state BCBS plans, Lifewise, First Choice Health Network, and Aetna. Some Kaiser PPO plans will cover services from First Choice Health Network providers; check to see if your insurance card has a "First Choice" logo. I am unable to accept Medicaid or Medicare at this time.

You will need to confirm that my services are covered under your insurance plan prior to your first visit. If your services are not covered you will be financially responsible for the bill. I suggest calling the number on the back of your insurance card to confirm coverage. In some cases, your insurer may contract with another company for management of mental health benefits and I may not be in network with that insurer. If you are covered under two insurance plans, you are responsible for knowing which coverage is primary and which is secondary (and I may not be in network with both plans). As insurance plans can be complicated, I recommend calling your insurer and asking them the following questions:

1. Does my insurance cover outpatient mental health treatment or evaluations? What company administers the mental health benefits?

2. Is a referral required by my insurance for mental health treatment?

3. What is my deductible that I must pay at the beginning of the plan year? When does my plan year start? How much of my deductible has been met?

4. Is there a co-pay or co-insurance for mental health visits? If so, what is my co-pay amount or percentage of the bill that I am responsible for?

5. Is Marla Brucken, ARNP a preferred provider or "in network" on my plan?

6. If Marla Brucken, ARNP is not in network, does my plan offer any out of network benefits? Is there a separate deductible for out of network services? What percentage is paid for out of network services?

7. Does my insurance cover telehealth/telemedicine visits for mental health? Are telehealth visits covered regardless of the platform used?

If you do not have insurance I can provide services on a cash pay basis. If I am out of network with your insurer and you have out of network benefits you would like to utilize, I will collect the full amount of the visit from you at the time of service and provide you with a superbill which you might be able to submit to your insurance for some reimbursement depending on your plan and coverage.

Fees

Fees may vary from appointment to appointment depending on the length of the appointment, the services provided (medication management, therapy, etc.) and the level of complexity of the visit. This is how your primary care provider or other medical providers generally bill for their services. This means your coinsurance (the percentage of the bill you are responsible for) may not always be the same if you are using your insurance. Please call me for any questions about fees as I'm aware that this can be complicated and confusing! I generally offer 3 types of appointments and the fees vary for each. Please note that if you are using insurance that I am in network with, your fee will be the contracted rate set by your insurer.

Comprehensive psychiatric evaluation (for new patients): 60-90 minutes, $300-405, varies based on time and complexity.
20-30 minute medication management follow-up appointment (may include supportive therapy)- fee varies depending on factors listed above.
50 minute follow-up appointment: this is an option if more time is needed for supportive therapy and to discuss medication regimen in greater detail. Fee varies depending on factors noted above.

I require 48 hours notice to cancel an appointment. This allows me the ability to offer your time slot to another patient who may need an appointment. If you cancel your appointment in less than 48 hours or you miss your appointment, a missed appointment fee will be charged. This fee is $150 for a missed psychiatric evaluation and $100 for a missed follow-up appointment. This fee is not covered by your insurance.

Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your health care will cost

Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.

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 bill for medical items and services.

• You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

• If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.

• If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.