Quarternote Counselingparticipates with several insurance companies and offers self-pay options for those clients either without insurance or who are choosing to forego using their insurance. In-Network Insurance: Quarternote currently participates with the following insurance companies:
Humana Healthy Horizons of Virginia (a Medicaid plan)
Anthem HealthKeepers Plus (a Medicaid plan)
United Healthcare Community Plan (a Medicaid plan)
Sentara Community Plan (a Medicaid plan)
Quarternote will submit claims on your behalf to your insurance company for processing. We will make every effort to verify coverage prior to the client's first appointment; however, clients are responsible for being familiar with their insurance coverage and what is due as their co-pay/co-insurance/deductible payment at the time of service. Clients are responsible for the amount due per their insurance company upon claim processing. Disputes concerning the amount due should be addressed directly with the insurance company.
Out of Network Insurance: Quarternote will accept and bill out of network (aka non-participating) insurance as a courtesy ONLY if the policy provides out of network benefits. Please check availability of out of network benefits on your policy. Clients using out of network insurance will receive a Good Faith Estimate and will be responsible for paying the difference between Quarternote's billed amount and the amount paid by insurance. Clients will be required to pay $100 each session, due at the time of service, and will owe any remaining balance after claims have been processed by the insurance company and any applicable insurance payment has been received. Please contact us if you have questions concerning out of network insurance billing.
Accuracy of Insurance Information on File: It is important to ensure the insurance information on file with our practice is up to date to avoid claim denials that result in the client being responsible for the full fee of any sessions not covered by insurance. Any changes to your insurance policy, including a loss of coverage, must be reported immediately. You may use the Secure File Transfer from to send photos of your insurance card to Quarternote's Administrative Assistant, Andrea Hunter-Bradley, to assist with timely updates to your account. The Secure File Transfer form will transmit the information in an encrypted state and will be received directly by Ms. Hunter-Bradley. You may access the Secure File Transfer form by clicking here. You may also call Ms. Hunter-Bradley at 703-479-2947 with updates and information related to insurance or financial matters. PLEASE NOTE: no clinical or other information should be sent using this form. It is for the purpose of submitting information related to insurance and financial matters only.
Self-Pay: Clients without insurance coverage, or choosing to forego using their insurance coverage, are welcome to be seen on a self-pay basis. Quarternote's fees are as follows:
Intake session (90-minutes) - $215.00
60-minute session - $180.00
45-minute session - $135.00
Group sessions - varies based on group
In some instances, when eligible, a sliding scale may be available that would provide a fee reduction to the client. Sliding scale eligibility is determined based on the Federal Government’s “poverty guideline” practices and is based on the household's pre-tax (gross) income. Information about the Federal Government's poverty guidelines may be found here. Quarternote reserves the right to limit the number of clients utilizing the sliding scale. Please contact us for more information.
Cancellation Policy and Fee: Quarternote's late cancellation/no-show fee is $75.00 per occurrence. When cancelling an appointment, notice must be provided directly to the client's therapist of the cancellation. Notice must be provided to the therapist no later than 7p.m. the day prior to the scheduled appointment. Failure to provide notice by 7p.m. AND/OR missing an appointment with no notice (defined as a "no-show") will result in the fee being applied to the client's account. This fee is not covered by insurance.
Good Faith Estimate Notice: Clients being seen using out-of-network insurance or as self-pay (both full fee and using the sliding scale) are required by law to be provided a "Good Faith Estimate" prior to receiving services. The Good Faith Estimate provides a breakdown of the expected cost of the services you will receive from Quarternote and provides an estimate of the total amount you may pay for a 1-year period of time. You may ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you may choose to dispute the bill. Always be sure to save a copy or picture of your Good Faith Estimate. For more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.