Shanti Mental Health Center

Fees, Billing & Financial Policies

890 Elm Grove Road, Suite 110 · Elm Grove, WI · (262) 393-3320

Overview

Transparent, straightforward billing

At Shanti Mental Health Center, we believe that understanding the cost of care should never be a source of stress. This page explains how our billing works, what your financial responsibilities are, and what to expect at every step — whether you're using insurance or paying out of pocket.

If you have any questions that aren't answered here, please don't hesitate to call our office or send a message through the patient portal. We're happy to walk through the details with you before your first appointment.

How we bill

Choosing your billing method

We accept both insurance and self-pay (cash pay) patients. At the time of scheduling, you'll be asked to select the billing method you'd like to use. Once selected, that method stays in place unless you notify us of a change in writing.

Insurance billing

Your copay is collected at each visit. Our billing team submits a claim to your insurer on your behalf. Any balance after insurance pays is your responsibility.

Self-pay (cash pay)

Full session fee due at time of appointment. No claim is submitted. Superbills available on request for out-of-network reimbursement.

Superbills available on request

Self-pay patients may request a superbill — an itemized receipt with diagnosis and billing codes — after any appointment to submit to their insurer independently. We cannot guarantee insurance reimbursement for self-pay services.

Self-pay rates

Our fee schedule

The following rates apply to self-pay patients. All fees are due in full at the time of your appointment and will be charged to the credit card on file.

ServiceDurationSelf-Pay FeeInsurance
Adult Psychiatric Evaluation60 min$300Copay due at visit
Pediatric Psychiatric Evaluation60 min$300Copay due at visit
Individual Psychotherapy45 min$225Copay due at visit
Medication Follow-Up (Adult or Pediatric)30 min$150Copay due at visit

Fees are subject to change. You will be notified of any rate changes before they take effect.

Insurance patients

Using your insurance

Here's what you can expect at each step of the insurance billing process:

1

Verify your benefits before your first visit

It is your responsibility to confirm that Shanti Mental Health Center and your provider are in-network with your plan. Our office is happy to assist, but we cannot guarantee coverage or benefit amounts.

2

Your copay is due at each appointment

Your copay, coinsurance, or applicable deductible amount will be collected at check-in and charged to the credit card on file.

3

We submit your claim

After your appointment, our billing team submits a claim to your insurance company on your behalf.

4

You may receive a balance statement

After your insurer processes the claim, you may owe an additional amount. We'll send a statement, and the balance will be due within 30 days.

Please notify us of insurance changes

If your insurance plan changes — including new coverage, termination, or a change in plan type — please let us know right away. Failure to notify us may result in the full session fee being charged to you directly.

Insurers we currently accept

We are currently in-network with the following insurance plans:

Cigna Aetna
More insurers coming soon

We are actively in the credentialing process with additional insurance plans. Please check back as our network continues to grow — or contact our office if you have a specific plan you'd like to inquire about.

Payment

Credit card on file

All patients — regardless of billing method — are required to have a valid credit card on file at the time of scheduling. This card is stored securely through our HIPAA-compliant payment processor and is used only for:

Your copay or self-pay fee at each appointment, any outstanding balance remaining after your insurance pays, and applicable late cancellation or no-show fees.

You'll receive a receipt for every charge. You can update your card at any time through the OnPatient patient portal at onpatient.com or by calling our office.

Scheduling

Cancellation & no-show policy

When you schedule an appointment, that time is reserved specifically for you. Late cancellations and missed appointments make it difficult for us to offer that slot to other patients who may be waiting for care.

24-hour cancellation requirement

Please cancel at least 24 hours in advance

Cancellations made less than 24 hours before your scheduled time, and appointments missed without notice, will be charged as follows:

New patient eval (adult or pediatric)$150
Psychotherapy$112.50
Medication follow-up$75

No-show fees apply to all patients regardless of billing method and are not billable to insurance. The fee will be charged automatically to the card on file.

How to cancel

Call us at (262) 393-3320 — if calling outside business hours, please leave a voicemail. You can also cancel through the OnPatient patient portal at onpatient.com.

We understand that emergencies happen. If an unavoidable circumstance prevents you from attending, please contact us as soon as possible and we will review the situation on a case-by-case basis.

Patients who miss or cancel late on two or more occasions within a 12-month period may be transitioned out of the practice with 30 days' written notice and referrals provided for continued care.

We're here to help

Billing questions?

We know that navigating the financial side of healthcare can feel complicated. If you have questions about your bill, insurance coverage, or any aspect of this policy, please reach out.

Patient portalonpatient.com
Address890 Elm Grove Road, Suite 110, Elm Grove, WI

This page is for informational purposes. Please review and sign the full Financial Agreement at your first appointment.