Jennifer Hilligus, MA, NCC, LPC

NJ Licensed Professional Counselor #37PC00429300

5F Auer Court

East Brunswick, New Jersey 08816

609-937-9702

www.jenniferhilligus.com

General Information

Hello and welcome to my practice. The following information is intended to answer any of your questions and to avoid confusion or misunderstanding at the beginning of our counseling relationship. If you do not understand something, please do not hesitate to ask me.

Fees for Service

Types of Service CPT Code Fee

Counseling Session-Full / 90806 / $120
Initial Evaluation / 90801 / $150
Counseling Session – Group / 90853 / $65
Counseling Session –Couple/Family / 90847 / $120

Sessions are for 45 minutes. Please be prompt.

Additional fees may be charged for the following services. Payments will be discussed at the time of need:

·  Narrative reports for attorneys and/or other third parties

·  Court or deposition appearances

·  Disability reports for State and Federal Disability Determination or Disability reports for private insurance carriers and/or other non-governmental agencies

Payments

I accept payments in the form of cash, personal check, cashier’s check or money order. Please make all checks or money orders payable to: JLH Counseling, LLC. Payments are due at the time of service. You will be provided a bill to submit to your insurance company for reimbursement. It is your responsibility to ascertain your mental health benefits through your carrier. If I am in-network with your insurance carriers, I will bill your insurance company for each session. Co-payments are due at the time of service.

Important: If you fail to get authorization or your insurance company denies the claim for any reason, you will be responsible for payment.

Cancellation Policy

A $50 fee may be charged for missed appointments or cancellations with less than a 24-hour notice unless it is due to illness or an emergency. A bill will be mailed directly to all clients who do not show up for or cancel an appointment. Insurance carriers are not responsible for missed appointments and will not be billed. When you fail to cancel a scheduled appointment, I cannot use that time for another client.

Thank you for your consideration regarding this important matter.