INSURANCE & PAYMENT
FINANCIAL POLICIES
At Chrysalis Center, we believe your mental health is one of the most important investments you can make. Our practice is a privately-owned mental health facility that works with a variety of insurance providers to help make care more accessible.
We are in-network with many private insurance companies, including Medicare and Tricare. For clients without insurance or with out-of-network coverage, we offer self-pay options at competitive rates. Full payment is required at the time of your appointment, whether you are using insurance or paying out of pocket.
If you have questions about coverage, costs, or billing, please review our Office Procedures and Financial Agreement or reach out to our Office Manager, Macon Funderburk, for assistance at administation@chrysaliscenter-nc.com.
INSURANCE
At Chrysalis Center, we are happy to file insurance claims on your behalf for mental health therapy and nutrition counseling services—with the exception of Medicaid. Coverage is based on your individual insurance policy, and benefits are not guaranteed until claims are processed.
Our administrative team will make every effort to verify your benefits before your first appointment. However, we strongly encourage you to contact your insurance provider directly to confirm your coverage for our services.
You will be responsible for paying your copay or the contracted insurance rate determined by your provider at the time of service.
We work with many major insurance companies, including:
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Aetna
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American Specialty Health
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Blue Cross & Blue Shield
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Cigna (out-of-network only)
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Medcost
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Medicare (mental health services only)
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Humana
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Tricare
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United Behavioral Health
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United Healthcare
PAYMENT OPTIONS
For clients who are paying privately or covering a remaining balance after insurance, Chrysalis Center accepts the following forms of payment, including cash, check, VISA, and MasterCard.
If you accrue a balance, we offer flexible payment plans that can be spread out over 3 months to help make care more manageable.
We are also happy to work with clients who prefer to have a third party cover their payment. This may include a family member, employer, or another individual. To arrange this, please request a Third Party Payer Form and ensure it is completed before your first appointment.
PAPERWORK & DOCUMENTATION
At Chrysalis Center, we are committed to maintaining ethical and comprehensive care for our clients. As part of this commitment, our providers do not complete documentation—including FMLA, short-term disability, or long-term disability forms—for individuals who are not yet established clients. A client is considered established after completing at least five sessions with the same provider.
All documentation requests are subject to the provider’s discretion. Clinicians have the right to decline paperwork requests they are unable or unwilling to complete. Processing times may vary, and a fee will be assessed based on the complexity of the paperwork. In some cases, providers may require you to schedule an additional appointment in order to gather the necessary information to complete the forms accurately.
APPOINTMENT POLICIES
LATE ARRIVALS, CANCELLATIONS, AND NO SHOWS
At Chrysalis Center, we value your time and are committed to providing timely, high-quality mental health care. We kindly ask that all clients arrive on time for their scheduled therapy or nutrition appointments.
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If you arrive more than 15 minutes late for a 50-minute appointment or more than 7 minutes late for a 30-minute session, you will be asked to reschedule, and a late cancellation fee will apply.
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All appointment changes—including cancellations, reschedules, or requests to switch to virtual therapy—must be made at least 24 hours (or one business day) before your scheduled appointment time.
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If you miss or late cancel your appointment, you may be charged up to $90. This fee is not covered by insuranceand is the sole responsibility of the client.
REMINDERS AND PATIENT PORTAL ACCESS
We offer appointment reminder texts as a courtesy to clients who opt in. However, please note that reminder messages are not guaranteed. Clients are still responsible for any late cancellations or no-shows, even if they did not receive a reminder.
All clients have 24/7 access to the Chrysalis patient portal, where you can easily check your upcoming appointments, request changes, and stay informed about your schedule.
Please be aware that repeated no-shows or late cancellations may result in dismissal from treatment at our discretion.
INDIVIDUAL PROVIDER FEES
90791 – Intake: $200.00
90832 – Individual (30 min): $125.00
90834 – Individual (45 min): $150.00
90837 – Individual (60 min): $165.00
90846 – Family without Client: $150.00
90847 – Family/Couples: $150.00
90853 – Group: $60.00
No Show: $90.00
Kelly Broadwater, MA, LPA, LCMHC, NCC, CEDS-S
Lauren Francis, MA, LPA
Macy Baynor, MSW, LCSW
Emily Foster, MA, LCMHC-A
Danielle Couture, MSW, LCSW-A
90791 – Intake: $150.00
90832 – Individual (30 min): $100.00
90834 – Individual (45 min): $125.00
90837 – Individual (60 min): $140.00
90846 – Family without Client: $125.00
90847 – Family/Couples: $125.00
90853 – Group: $50.00
No Show: $90.00
Terri Mozingo, RD, LDN, CEDRD
Jennifer Wolf, MS, RD, LDN
Madelyn Huey, MS, RD, LDN
97802 – Intake: $37.50 per 15 min
97803 – Follow-up: $31.25 per 15 min
97804 – Group: $20.00 per 30 min
MedGem: $65.00 + session
Genetic Direction: $250.00 + session
Grocery Shopping: $35.00 per 15 min
No Show: $22.50 per 15 min scheduled
99201 – E&M of new patient (10 min): $55.00
99202 – E&M of new patient (20 min): $100.00
99203 – E&M of new patient (30 min): $150.00
99204 – E&M of new patient (45 min): $225.00
99205 – E&M of new patient (60 min): $300.00
99211 – E&M of an established patient (5 min): $50.00
99212 – E&M of an established patient (10 min): $75.00
99213 – E&M of an established patient (15 min): $125.00
99214 – E&M of an established patient (25 min): $165.00
99215 – E&M of an established patient (40 min): $225.00
992417 – Prolonged office or other outpatient evaluation and management service(s): $50.00
36415 – Collection of Venous Blood by Venipuncture: $10.00
No Show: $22.50 per 15 min scheduled
GOOD FAITH ESTIMATES
Effective January 1, 2022 under Section 2799B-6 of the Public Health Service Act, aka the “No Surprises Act”, healthcare providers and healthcare facilities are required to inform individuals who are not enrolled in a health insurance plan or not seeking to file a claim with their plan or coverage, both orally and in writing of their ability, upon request or at the time of scheduling health care services, how much their care will cost. You are entitled 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 expected charges for medical services
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency medical services
- You can 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 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.
