We happily accept cash, check, and credit cards for payment in our office. For a schedule of fees click here.
For your convenience, credit card payments may also be made over the phone or online by clicking the button above.
Checks can be made out to Affiliated Counseling Services and mailed to 1444 West 38th Street, Erie, PA 16508. Cash or check payments can be dropped in our locked mailbox on the East side of our building or mailed. If you would like to make payment arrangements, please contact Nicole via phone or text at 814-315-3152 or by emailing Nicole@affiliatedcounselingservices.com.
All payments are due prior to or at time of service. Accounts with a balance are not considered eligible for service unless prior arrangements have been made.
Co-Pay: A set amount pre-determined by your insurance company for a particular service
If our initial verification of your insurance coverage indicates a co-pay is due, you will be responsible for making this payment at time of service. This amount is assumed correct and ongoing until your insurance provider reports otherwise.
Deductible or Co-Insurance: Amount you must pay before insurance will share cost of care. After deductible is met, you are responsible for a percentage of costs. The percentage is determined by your insurance company.
If our initial verification of your insurance coverage indicates a deductible applies, the full amount of a session ($200) will be required prior to your first appointment. We will modify the amount of your payment per session once your insurance company reports the exact amount you are responsible for after processing the first claim(s). Any money left over from your first appointment payment will be credited to a follow up appointment or refunded in the way it was paid.
A fee of $100 will be charged for missed appointments or late cancellations as indicated on our cancellation policy. A late payment fee of $25 will be charged if no payment is received within 30 days of the first statement. These fees are not covered by insurance.
Listed below is our fee schedule. Please know that these fees may or may not be covered by your insurance provider. If you would like to know if your insurance covers our services, please call the phone number on the back of your insurance card for more information.
| Fee Schedule |
|---|
| Initial evaluation: $200 |
| Involvement with legal proceedings*: $300/hour |
| Follow-up sessions: $200 |
| Unscheduled phone calls with therapist lasting longer than 5 minutes: $50 each 15 minutes |
| Letter Writing: $35/page |
| Missed session fee: $100 |
| Late payment fee: $25 |
| Returned Payment fee: $25 |
*We do not participate in legal proceedings unless we are called to testify by another party. If we are called to testify, you will be responsible to cover all costs including transportation, preparation, and loss of professional time. These costs will not be covered by your insurance, and you will be responsible for the balance in full prior to the date of your court appearance.