Client Resources

Providing in-person and virtual therapy sessions

Fees and Insurance

If you plan on using insurance for reimbursement, please note that Dr. Bisignano is considered an “out of network” provider. She can provide a statement or super bill for all services rendered for reimbursement or tax purposes. If you are not sure what your insurance will cover, please call them directly for the specifics of your plan’s coverage.

5-Step Insurance Guide

If you plan on using your insurance company for reimbursement, you may find the following 5-step guide helpful. The phone number for your insurance is generally located on your insurance card. Locate the telephone number for customer service, mental or behavioral health and call. Use the following questions as a guide:

  1. Ask if they cover mental health services.
  2. Ask whether your health plan covers psychologists and what kind of treatments are covered and excluded. If you are interested in working with Dr. Bisignano, let them know she is a licensed clinical psychologist practicing in Palos Verdes Estates and Manhattan Beach. She is an “out of network” provider.
  3. Is there a deductible?
  4. Have I met the deductible?
  5. Is there a limit to the number of therapy sessions?

Payment for Services

Dr. Bisignano accepts payment by cash, checks, Visa, Mastercard and American Express. Payment is due at the beginning of each session, unless other arrangements have been made. Please call the office for current pricing of her services.

Late Fees

Full payment is expected at the time of service unless other arrangements have been made.

Fee Reduction

Dr. Bisignano allows for a limited number of lower fee appointments for those experiencing hardship. She prefers to hold these appointments slots for current clients who are experiencing challenges or life transitions during therapy work together. If Dr. Bisignano’s fee is a concern to you, please let her know and you can discuss it. If she is unable to accommodate your financial situation, she will provide you with referrals.

Good Faith Estimate

You have the right to receive a “Good Faith Estimate” according to the law, explaining how much your medical care will cost. Health care providers need to give their patients who don’t have insurance or who are not using insurance an estimate of the bill for medical services. You have the right to ask your health care provider or any other provider you choose, for a Good Faith Estimate before you schedule services. If you receive a bill that is $400.00 more than your Good Faith Estimate, you can dispute the bill. Make sure you save a copy or picture of your Good Faith Estimate.

Additional Fees

If you should become involved with legal proceedings that require Dr. Bisignano’s participation you will be expected to pay for her professional time and services, even if she is called upon by another party. Due to the challenges of legal involvement and the interruption to Dr. Bisignano’s regular practice, she charges $550.00 per hour for preparation and attendance at any legal proceedings. Dr Bisignano will provide a receipt at the end of each day and expect payment upon receipt unless other arrangements have been made.

Lateness and Cancellations

Missed and cancelled appointments present issues for both you and Dr. Bisignano. Two things are important to understand:

  • Therapy is a wonderful process; however, it can be challenging at times for people when they are experiencing difficult emotions. It can sometimes feel easier to avoid or not coming to therapy. If this is the case, Dr. Bisignano prefers you speak to her about this and she can help you process what is going on.
  • Dr. Bisignano holds your scheduled appointment time specifically for you. She sees a limited number of clients so that she can be at her best with each client and provide them with excellent care. It is difficult for her to fill a cancelled appointment with short notice. Therefore, Dr. Bisignano charges for all appointments cancelled with less than 48 hours notice, unless you can find an alternate time during the week that fits both of your schedules. Thank you for understanding.
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