Financial Policy Statement

• Patient is ultimately financially responsible for all charges regardless of insurance involvement.
• Patient is responsible to pay any deductible, co-insurance, copay, or any services deemed as a “non-covered benefit” by his/her insurance carrier at the time of services are rendered.
• It is patient responsibility to verify benefits from his/her insurance plan and to make sure all proper authorizations/referrals have been obtained.
• It is patient responsibility to tell Apex representative in advance if his/her insurance company requires pre-authorizations of procedures.
• It is patient responsibility to keep Apex informed of insurance/address changes.
• It is patient responsibility to pay outstanding balances within 30 days of notification. Failure to pay outstanding balance within 30 days of notification will result in termination of care from Apex.
• Prior to any treatment being rendered, patient must agree and sign Apex Behavioral Health Dearborn PLLC Financial Policy Statement.
• If patient does not want to sign this policy in advance of first visit, the services will not be provided and it would be considered as non establishment of patient – therapist relationship.

Accepted Insurances