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Fees and Insurance

We believe in transparency.

 

Below, you’ll find our fees starting January 1, 2026, along with insurance and payment information.

Our Fees (effective 1/1/26)

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Sliding scale options are available for those who meet criteria​

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New Individual Intake: $195/$185/$155 for 60 minutes

Follow Up Individual Session: $175/$165/$135 for 50 minutes

New Couples/Family Intake: $225/$210/$180 for 60 minutes

Follow up Couples/Family Session: $205/$190/$160 for 60 minutes

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Additional Fees

After one hour of an intake or session, fees are prorated in 15-minute increments. The $165/hour rate also applies to other services directly related to treatment, such as:

- Client telephone consultations

- Attending school conferences

- Writing reports or letters

- Speaking or meeting with other professionals on your behalf

 

For Assessment Fees: We offer Autism and ADHD assessments with transparent pricing. View assessment fees and options here.

​Insurance

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Play and Wellness Center of Gainesville is not in-network with any major insurance companies. However, out-of-network benefits may cover a significant portion of your therapeutic services.

 

We provide superbills (detailed receipts) for you to submit to your insurance for potential reimbursement. Please call your insurance company to ask about your out-of-network benefits.

 

Questions to Ask Your Insurance Provider:

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  1. What are my “out-of-network, outpatient, mental health benefits” when seeing a licensed mental health counselor?

  2. Do I need a referral from my primary care provider (PCP) to receive mental health services?

  3. Do I have a deductible, coinsurance, or copay? What are the amounts for out-of-network services?

  4. Have I met my deductible this year? When does it restart?

  5. Do I need pre-authorization? (Meaning: Does the insurance company have to approve treatment prior to starting therapy?)

Other Payment Options

 

Play and Wellness Center of Gainesville is an approved provider for the Step Up For Students Unique Abilities Scholarship (previously known as the Gardiner Scholarship).

Cancellation Policy

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​If you need to cancel an appointment, please email info@playwellnesscenter.com or text or call (352) 448-1134.​

 

  • No fee will be charged if notification is received at least 24 hours before the appointment.

  • Full session fee will be charged for missed appointments without advance notice.

Good Faith Estimate
 

Your Right to a Good Faith Estimate Under Section 2799B-6 of the Public Health Service Act (No Surprises Act), healthcare providers and facilities must inform uninsured individuals or self-pay patients (those not using insurance or federal healthcare programs) of their right to receive a Good Faith Estimate (GFE) of expected charges. You have the right to receive a GFE for the total expected cost of any non-emergency healthcare items or services, including: - Psychotherapy sessions. - Assessments (e.g., Autism, ADHD). - Related costs such as reports, documentation, or consultations. What’s Included in a Good Faith Estimate? Your GFE will include: - Expected charges for the primary service (e.g., therapy session, assessment). - Related costs (e.g., administrative fees, materials, or additional testing). - Provider information (name, NPI, and contact details). - Service codes (CPT/HCPCS codes) and diagnosis codes (if applicable). Disclaimer: The estimate is not a contract and does not guarantee the final bill. Actual charges may differ based on unforeseen circumstances (e.g., extended sessions, additional testing). When and How You’ll Receive Your GFE Timing: - We will provide your GFE in writing (email or paper copy) at least 1 business day before your scheduled service, in your consent paperwork. - If you request a GFE in advance, we will provide it within 3 business days of your request. - For recurring services (e.g., weekly therapy), we will provide a new GFE at least once every 12 months or if there is a change in expected charges. Format: Your GFE will be clear, understandable, and free of charge. It will include our contact information in case you have questions. Your Rights if the Bill Exceeds the Estimate If your final bill is at least $400 more than your GFE, you have the right to dispute the charges through the U.S. Department of Health and Human Services (HHS) Patient-Provider Dispute Resolution Process. How to Dispute: - Save your GFE (take a photo or keep a copy). - Compare it to your final bill. - If the difference is $400 or more, file a dispute within 120 days of receiving the bill. - Visit www.cms.gov/nosurprises for instructions or call 1-800-985-3059. Important Notes - GFEs are for self-pay/uninsured patients only. If you plan to use insurance, your insurer will provide cost estimates based on your out-of-network benefits. - Emergency services are exempt from GFE requirements. - You are not required to accept the GF. It is for your information only. GFEs do not include: - Services provided by other providers (e.g., lab tests ordered by your therapist but performed elsewhere). - Unforeseen complications or additional services not initially planned. How to Request a Good Faith Estimate - Ask us at any time before scheduling, during intake, or at any point in your care. - We will provide it promptly (within 1-3 business days). - No cost to you. GFEs are free of charge.

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