Financial Policy


Thank you for choosing our Agency as your health care provider. We are committed to your treatment being successful. Please understand that payment of your bill is considered a part of your treatment. The following is a statement of our Financial Policy, which we require you to read prior to any treatment. All person(s)-served must complete our Admission and Insurance Form before seeing a doctor/counselor.
 
PAYMENT IS DUE AT THE TIME OF SERVICE.
WE ACCEPT CASH, MONEY ORDERS, CASHIER CHECKS, CHECKS, etc. SORRY NO CREDIT CARDS.
 
 
DBH PERSON(S)-SERVED:
Regarding Department of Mental Health Standard Means Form (Partial Fee):
FCC Behavioral Health abides by the policy set forth by the State of Missouri. The policy states that the Standard Means must be done on all Missouri residents in our catchment area to determine if they have the ability to partially pay for treatment (the first days of treatment each month, then the State will pay the rest). If an ability to pay is found, the Partial Fee is due upon admission of person(s)-served and on every month thereafter.
EX: person(s)-served admission 2-28-04, fee $300.00, person(s)-served discharge 3-1-04, fee $300.00, Balance Due $600.00.
 
The policy also states that the PARTIAL FEE NOT EXCEED CHARGES for any one month.
EX: If person(s)-served has a Partial Fee of $300.00 per month, but has only accumulated $100.00 worth of services, then your Partial Fee would be $100.00 instead of $300.00 for that month. Only one (1) Partial Fee can be charged per family, please notify us if any other family members are being treated at any DBH facility in Missouri.
 
 
NON-DBH PERSON(S)-SERVED: 
Regarding Insurance:
All co-pays and deductibles are due at the time of treatment. The balance of charges due is your responsibility, whether your insurance company pays or not.
 
Usual and Customary Rates:
FCC Behavioral Health is committed to providing the best treatment for our person(s)-served and we charge what is usual and customary for our area. You are responsible for payment regardless of any insurance company's arbitrary determination of usual and customary rates.
 
Regarding Insurance Information:
FCC Behavioral Health will accept assignment of insurance benefits. However, we cannot bill your insurance company unless you provide us with your insurance information.
 
Regarding Failure To Pay: FCC Behavioral Health may take action to collect any unpaid amounts.
 
Minors: The Parent/Guardian accompanying a minor is responsible for payment.
 
Thank you for understanding our Financial Policy. Please let us know if you have any questions or concerns.
 
FCC Behavioral Health's billing department can be reached at (573) 888-9525  
Financial Policy
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