iLEAP program fees
· Physician Visits. Physician services will be billed to the family or the designated insurance plan as appropriate. These are typically considered “problem-focused” medical appointments, not annual “physical examinations” or well-child care. They may be considered a “covered service,” depending on the resulting diagnoses and in accordance with the contract between you and your insurance company. It is the patient’s responsibility to know their terms of coverage and to make any necessary arrangements to pay for these services. If applicable, your co-pay or other arranged payment obligation is required as usual.
· Non-Physician Services. As recommended by your physician, appointments may be scheduled with an affiliated Registered Dietitian, Psychosocial Therapist, Fitness Specialist, or Health Educator.
o These services are not typically covered by your insurance.
o We encourage you to call your insurance company to inquire about or verify coverage for these services. (In our experience, plans are more responsive to member inquiries than to physician offices.)
o You will receive appropriately coded receipts for services to file with your insurance as desired.
o Co-pay is not required in addition to these fees.
o Fees are paid to the participating provider at the time of service.
Professional Services
for iLEAP program elements
Fees
(per appointment)
Physician Services for medical diagnoses “covered” by insurance
Usual Co-pay or Benefit Arrangement
Physician Services not covered by insurance (time-based)
$120 to $240
Registered Dietitian (individualized dietary assessment and recommendations)
$100 to$140
Psychosocial Therapist (individual and/or family counseling)
$100 to $140
Nurse Educator (curriculum training and fitness education)
$75-125
Group Counseling or Education (minimum participation required)
$40
Group Fitness Classes (minimum participation required)
$15
Basic Phone and Email Support (brief exchanges, up to 2x/week)
included
E-Newsletters
Included
Care Coordination
Included
Phone or Email Intervention (counseling, treatment plan changes, 15-30 min)
$40
Special Events, Field Trips, Programs
Varies
Cancelled or missed appointments: GTW requires 24-business hours notice to avoid full charge for the cancelled or missed appointment.
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