Policies
  • For Texas residents, the following policies DO NOT apply. You MUST click HERE to review policies and insurance plans accepted, and to make an appointment.

  • For residents of Maryland, Nevada, Oregon, Washington D.C. and Washington state, after reviewing the following policies, you MUST click HERE to complete the New Client Evaluation.

 

***There are NO exceptions to the process noted above. Not choosing the correct option will result in delay of care. If you are having trouble

making an appointment, please send a message to info@kuponyatelepsychiatry.com, or call 1-888-909-6409, and leave a detailed message.

Office Hours 

 

Monday - Friday 8am - 4pm CST (Evening and weekend appointments available.)

Communication

 

Often, because we are assisting other clients, we are not immediately available by telephone. At these times, you may leave a message and your call will be returned within 2 business days. You may also communicate via the patient portal.

If you are experiencing an emergency, having suicidal or homicidal thoughts or feel unsafe, call 911, go to your local emergency room, or call your local Crisis Hotline. If you are experiencing what you believe is a negative reaction to your medication, please call 911 or go to your nearest emergency room for evaluation.

Appointments 

All appointments are conducted utilizing a secure video platform (requiring access to a webcam. Currently serving clients residing in the following states, only:

  • Maryland

  • Nevada

  • Oregon

  • Texas

  • Washington, D.C.

  • Washington state

When it's time to "attend" your appointment, simply "check-in" using the link on the top right corner of this page. You will then be taken to the HIPAA compliant site for our video appointment. (It's encouraged that you check in early to give yourself plenty of time to test your video and audio connection, and to avoid needing to reschedule.)

Insurance Currently Accepted

    Aetna

    Cigna

    Humana

    Tricare

If our provider is not "in network" with your insurance carrier, you will be responsible to pay out of pocket. However, at the conclusion of the visit, you will be sent a visit summary that includes billed charges. You can send this "superbill" to your insurance company for possible reimbursement. The amount will be determined by your insurance carrier, and they can walk you through their required steps.

Visit Fees

Fees/copays will vary for those with insurance, per your individual policy.

 

For those without insurance:

 

  • Initial evaluation $ 250 

  • Follow up visit    $ 125 

 

All fees, including copays, are paid in advance, through our website. Visa, Mastercard, American Express, Flexible Spending Account (FSA) and Health Savings Account (HSA) are accepted. (Please note that the card must have a Visa or Mastercard logo.) We do not accept mailed payments. If payment has not been made at least 24 hours before your appointment, it’s equivalent to a nonconfirmed appointmentand your appointment will be canceled. 

 

For those needing interpretation services, a third-party interpreter is required, at your expense. Friends and/or family members are not acceptable. The video conferencing platform used allows for three-way conversation, so your interpreter does not need to be at your location. 

Missed or Canceled Appointments 

 

Appointment reminders are sent via email. Cancellations must be made at least 24 hours prior to the scheduled appointment, and can be done several ways (self-cancel via patient portal, send message requesting cancellation through the patient portal, or voice mail message to cancel). Because payment is expected in advance, if you cancel at least 24 hours prior to your appointment, you will get a full refund. If you cancel within 24 hours of your appointment, you will not be refunded fees paid. 

 

Examples:

 

  • If your appointment is Wednesday at 10am, you must cancel before 10 am Tuesday. 

 

  • If your appointment is Monday at 2 pm, you must cancel before 2 pm Sunday. 

 

We understand things happen and you may miss your appointment for reasons that are out of your control, so we'll issue a refund. If there are 3 cancellations within 24 hours, you will be discharged from the practice. 

Late Policy 

If you are more than 10 minutes late, your appointment will be canceled and you will not receive a refund. With an online platform that takes away the stress of weather conditions, traffic and trying to find parking, it is very convenient for you to "attend" your appointments on time.

Medications

Electronic prescriptions are sent directly to your pharmacy within your state of residence. Prescriptions are not mailed. You will receive enough medication refills until the next scheduled follow-up appointment, therefore, sending a message about refills is generally not necessary. However, occasionally refills do not always get sent to pharmacies as planned. In this case, please place your refill request through the patient portal.  If you miss an appointment that was meant to discuss your progress and refills, a 7 day refill will be sent, allowing you time to schedule an appointment. Changes are not made to your medication(s) without an appointment. 

Administrative Policies 

  • We do not complete FMLA paperwork, perform disability evaluations or provide letters of approval for service or emotional support animals.

  • We do not get involved with legal testimony, and ask that you employ independent forensic psychiatric or psychological services should this type of evaluation or testimony be required.

 

Client Rights: You have the right to receive considerate, safe and respectful care, without discrimination as to race, ethnicity, color, gender, sexual orientation, age, religion, or national origin. You also have the right to ask questions about any aspects of your treatment. While we do hope you will speak with us if you are unhappy with our services, if you prefer to see another mental health provider, you are free to end treatment at any time. 

 

 

Provider Rights: We have the right to terminate our relationship when we believe that our services are no longer beneficial to you and when we feel that another professional would serve you better. We also have the right to terminate our relationship when you do not cooperate with the proposed treatment, and if you or your family member/significant-other are hostile or aggressive.

 

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Copyright © 2018 - 2021. Kuponya Telepsychiatry, LLC.  All rights reserved.

 

 

 Call or Text:   1-888-909-6409

 Email:   info@kuponyatelepsychiatry.com