PAYMENT & FINANCING

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Payment

Lifestages does not participate with commercial insurance companies and we require payment at the time of service. This enables us to focus on providing the right clinical and diagnostic care in the right place at the right time without restrictions often set by insurance guidelines. It also ensures that our focus is on the patient, their family, and the referring provider and not on administration.

We can send you a copy of your paid superbill that you may use to seek reimbursement from your insurance company. Your Health Savings Account may permit you to pay for our services.

We continue to accept Medicare.

"Good Faith Estimate"

NOTICE: You have the right to receive a "Good Faith Estimate" explaining how much your medical 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 bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item.

  • You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

  • 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 or call 1-800-985-3059.

Neuropsychological Evaluation
PAYMENT SCHEDULE

DEPOSIT

Due to high demand, we require a $500 deposit when scheduling a neuropsychological assessment in order to minimize no-shows and late cancellations. Unless you process your payment within 24 hours of booking, we will release your appointment.

 

REMAINING BALANCE

The remaining balance is due in two installments (check or cash), first at the initial intake and the final payment by the last testing session.​ 

 

CANCELLATIONS

Your deposit is NOT refundable unless you provide our office at least 10 business days of advance notice prior to your appointment.  To cancel your appointment, you must call our office at (603) 614-6016.

COST

Child/Adolescent Neuropsychological & Psychoeducational Assessments: $4000-5000

Assessment for High Stakes Exams:  $4000-5000

Adult Neuropsychological Evaluation:  $3000-4000

Older Adult Memory Evaluation:  $2000-3000

Legal Services:  Dr. Gourvitz's 2021/2022 Rate Schedule for legal services is password protected - please contact our office for details.

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Care Management
Payment Schedule & Cost

RETAINER FEE

We require a $2500 retainer fee for Care Management services.

 

INITIAL EVALUATION

$750 is deducted from your retainer fee for the initial evaluation.

 

MONTHLY BILLING

Once the retainer is exhausted, Lifestages bills monthly for services that have been provided.  Please contact our office for details.

 

Psychotherapy & Telehealth Payment Schedule & Cost

PSYCHOTHERAPY SESSIONS

$150-250

TELEHEALTH SESSIONS

$150-250

 

Payment at Time of Service

Payments for psychotherapy and telehealth sessions are due at each session.

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