Workshop fees are due at the time you register. For psychotherapy services the office policies regarding insurance, billing and payment are as follows:


Many insurance plans require that you get pre-approval for services. Some insurance policies also require the provider be contracted with that company (in-network) to be eligible to be paid for services by the insurance company. Dr. Sims is currently a provider for Regence Blue Cross and Blue Shield of Oregon (RBCBSO), Aetna and Aetna Student Health, Pacific Source, First Choice Health and has agreed to accept their rates (which may be different from her standard rates). She will bill these directly and you will be responsible for any deductible and co-pay amounts. If required, Dr. Sims will prepare necessary reports for submission to the insurance company.


Full payment is due at the time services are provided unless other payment arrangements have been made. In most cases, you are responsible for your entire bill regardless of the amount your insurance company reimburses you or me. Your policy is a contract between you and your insurance company; and other than RBCBSO, Aetna and Aetna Student Health Insurance, Dr. Sims is not a party to that contract. Cash, checks, Visa, MasterCard, Discover and American Express are accepted. In cases of financial hardship a reduced fee maybe possible. Please talk with Dr. Sims to arrange an alternative fee or payment plan.


If you have a personal balance and have made no payment on that balance in the preceding 30 days, a re-billing fee of $10.00 will be assessed to cover the costs of billing again. If you have a personal balance on your account it is important that you make a payment every billing cycle by the 10th of the month to avoid a re-billing charge.


If you discover you will be unable to keep a scheduled appointment, please contact Dr. Sims as soon as possible. Unless cancelled at least 24 hours in advance, you will be charged at the rate of the scheduled visit. Insurance companies will not cover the cost for missed appointments.