Services provided

  • Dr. Hidalgo offers medication management as well as psychotherapy.

  • During your initial evaluation, Dr. Hidalgo will thoroughly review your complaints and background. During this session, you and Dr. Hidalgo will discuss preliminary impressions and treatment options. If you both decide to work together, then you will discuss the structure of your treatment.

  • If medications are indicated, Dr. Hidalgo will discuss with you the nature of your illness, the reasons for starting medication and the likelihood of improvement with and without medication.  Dr. Hidalgo will also explain any reasonable alternative treatments, including the type (s) of medication being recommended, the dosage and frequency of administration, including a discussion of the initial dose and the maintenance dose as well as the dosage range. Dr. Hidalgo will also discuss with you probable side effects known commonly to occur and any side effects likely to occur in particular cases, as determined by your medical and psychiatric history or known medical conditions, and any possible long-term effects which may occur after taking the medication for long periods (usually 3 months) or terminating the medication, the effect of sudden withdrawal of the medication against medical advice. You will also be provided with Consent for Medication treatment if appropriate. 

  • Psychotherapy or talk therapy as some people referred to, can be very helpful.  In many instances psychotherapy alone can be sufficient to address your symptoms. Sometimes during therapy sessions, some uncomfortable feelings and sensations may arise, but there usually short-lived.  Often times, patients also require the combination of psychotherapy and medication to address their symptoms.

 

Services we do not provide

  • Emotional Support Animal letters

  • Suboxone treatment

  • Assessments for ability to return to work, ability to own a firearm or weapon, ability to drive a certain vehicle, etc.

  • Couples or Family Therapy

  • Transcraneal Magnetic Stimulations/Electroconvulsive Therapy

  • Disability evaluations

  • Forensic evaluations

  • Court ordered treatment

  • Certain types of psychotherapy such as EMDR (Eye Movement Desensitization and Reprocessing), DBT (Dialectical Behavioral Therapy).

 

Your First Appointment

  • During your first appointment, Dr. Hidalgo will thoroughly review your reasons for seeking care and background. The appointment will generally last one hour.

  • All new patient evaluations are just a consultation and don't establish a doctor-patient relationship.

  • Please take a moment to fill out medical history questionnaire as this will help make the most of your appointment.

  • You and Dr. Hidalgo will discuss preliminary impressions and treatment options. If you both decide to work together, then you will discuss the structure of your treatment. Dr. Hidalgo will also continue to assess appropriateness of telemedicine/telepsychiatry.

  • Dr. Hidalgo will provide recommendations to meet your needs, expectations and abilities. Dr. Hidalgo will not initiate treatment (including prescribing medications) if that is not the case.

  • Further assessments may be required for Dr. Hidalgo to complete the consultation and assessment.

  • If we cannot meet your needs, we will not accept you as a patient.

  • In case you do not agree with Dr. Hidalgo’s treatment recommendations and/or decide we are not a good fit for you, our initial appointment fees still will apply even if you decide to not pursue treatment.

  • If you miss your first appointment, you will be charged the full fee for the appointment ($300).

  • If a medication is prescribed, you will be provided with Consent for Treatment form for you to review and sign.

 

Your follow-up appointments

  • If medications are prescribed, Dr. Hidalgo may recommend the patient to return in 2-3 weeks for a follow-up appointment.

  • The frequency of appointments will vary depending on your needs (ranging from once a week to once every 3 months).  

  • Appointments that are focused on medication management only usually last 25 minutes.

  • If we determine that therapy should be a part of your treatment and you decide to receive therapy from Dr. Hidalgo, it is best for the patient to attend therapy once every 1-2 weeks. These appointments usually last 50 minutes.

Photography or recording (audio and/or video) is NOT permitted during your appointments (new or follow up). 

 

Cancellations/ No Shows

  • A late cancellation is when the scheduled appointment is cancelled less than 24 hour before your appointment. We understand that sometimes unexpected events occur which may cause you to miss your appointment; we encourage you to contact us as soon as possible.

  • You can cancel and schedule appointments using the Patient Portal.

  • If you cancel an initial Psychiatric Evaluation appointment less than 24 hours before your appointment or you do not show to your appointment, you will be charged the full fee for your session ($300).

  • If you cancel a follow up appointment less than 24 hours before your appointment or you do not show to your appointment, we will assess a fee of $100 (for a 25-30 min appointment) or $150 (for a 50 min app).

 

Late arrivals/ Missed appointments

  • If you are late for your session, you will only be seen for the remainder of the time left in your appointment time slot.

  • Since you will nevertheless be charged for the full amount of the session, it is to your great advantage to be on time for all sessions.

  • Should you arrive more than 15 minutes late for a standard follow-up session or more than 30 minutes late for an extended follow-up session, it will be considered a missed appointment. You will be asked to reschedule so that an appropriate amount of time and attention may be devoted to your care.

  • You will still be responsible for payment of the missed session. Your insurance company may not reimburse you for fees related to late cancellation/no-show/missed appointment.

 

Medications

  • Please be aware that one of the purposes of an appointment is to ensure that you have enough medications to last until your next scheduled visit.  

  • In order to continue to receive medication refills, you will need to be seen via tele-psychiatry in order to review progress, side effects, update labs, and make any additional adjustments.  

  • There will be a $25 charge for request to refill a prescription or order any prescription between appointments. We require that you notify us at least 5 days in advance if you require a refill. This policy is to encourage our patients to keep appointments and to ask for refills or discuss any medication changes during office visits.

  • It is important that you bring a list of all your medicines or bring all your medicines to the appointments in order to ensure accuracy of information. We will also need the name of your pharmacy in order to send prescriptions if required.

  • If you feel you need to have a different dosage of your medication or have concerns about it, you should schedule an appointment for evaluation.

  • You are responsible for updating all your other medical providers and physicians of any new medications prescribed to you.

  • Dr. Hidalgo expects to be the only one managing psychotropic medications. On a rare occasion she may coordinate care with your Primary Care Provider/Physician in order to taper off certain medications such as controlled substances.

 

Controlled Medications

  • Since our appointments are performed over video, federal regulations prohibit Dr. Hidalgo from prescribing controlled substances such as stimulants (like adderall, ritalin, etc.) and/or benzodiazepines (like xanax, klonopin, ativan, etc.) without an in-person evaluation. However, due to COVID-19 pandemic these rules have been relaxed some. Therefore, for the moment:

  • Dr. Hidalgo can prescribe controlled substance (such as benzodiazepines) ONLY if you need help stopping them. 

  • Controlled substances will not be prescribed if you are using marijuana (cannabis) or other substances or using sedatives like pain medications (suboxone, hydrocodone, oxycodone, morphine, etc.).  

  • Even if you have been prescribed stimulant medications before, Dr. Hidalgo will only prescribe them after a rigorous evaluation and if they are indicated.

  • Controlled substances will not be prescribed earlier than scheduled and prescriptions lost or stolen will not be replaced without a police report.

  • You may be asked for a random Urine Drug Screen during course of treatment. This is done to either monitor compliance with medications or monitor the presence of illicit substances.

  • Prescription Monitoring Program is checked on every patient. This is to ensure monitoring of controlled substances and to avoid duplicate prescriptions. The Prescription Monitoring Program asks for us to submit your name and date of birth, identifying Dr. Hidalgo as your provider.

Communication in between appointments

  • As a solo physician practice, Dr. Hidalgo generally makes herself available to patients and we encourage patients to contact our clinic with questions or concerns, however, Dr. Hidalgo is not available for your needs 24/7.

  • We do not provide weekend or evening coverage.

  • You may contact Dr. Hidalgo by calling our office at 919-646-1914 during business hours, emailing us (info@luxpsychiatry.com) or using the Patient Portal. Please allow 48 hours for Dr. Hidalgo to return your call/email.

  • Any communication will become a part of your medical record. For emergency situations, please refer to Coverage section of our policy below.  

 

Insurance

  • Dr. Hidalgo is not in network with any insurance company. Therefore, we do not receive payment directly from the insurance company, The patient is responsible for payment of services.

  • You understand that YOU, the patient, not Dr. Hidalgo or Lux Psychiatry, PLLC is responsible for submitting information to the insurance company for reimbursement. In addition, Dr. Hidalgo is not responsible for submitting documentation to your health insurance company for prescription medications, laboratory services, or other medical services. 

  • Services are paid for in full by the client at the beginning of each session via credit card or bank transfer.

  • Dr. Hidalgo will provide you with an invoice/receipt or “superbill” which you can present to your insurance provider in order to seek reimbursement for psychiatric or psychotherapeutic services rendered.

  • The invoice/receipt will provide information on the codes used to bill the service as well as diagnosis, charges made and payments made by the patient.

  • If you plan to use your insurance benefits, it is in your best interest to check with your insurance provider prior to your first appointment in order to understand the full details of your out-of-network mental health benefits. You may get reimbursed at a lower rate than in-network providers.

  • Some insurances won’t reimburse your for services received out of network.

    • These are the most frequently used CPT codes:

                                         Diagnostic evaluation (99205)

                                         Psychiatric Evaluation (90792)

                                         E&M med management (99213/99214/99215)

                                         Psychotherapy (90837/90832)

                                         Add on codes for therapy: 90833/90836/90838

                                         GT or .95 is added to code for Telemedicine services

 

Keep in mind that you may not seek reimbursement for out of network services from Medicaid and/or Medicare. 

 

Fees

Payment is due at the time of service. You may pay by credit card or bank transfer.

  • Initial Psychiatric appointments (60 min): $300

  • Consultation for PCP or second opinion (90-120 min): $450

  • Follow Up appointment medication management only (25-30 min): $220

  • Follow Up appointment medication management only (15 min): $190

  • Follow Up appointment medication management and psychotherapy (50 min): $250

  • Psychotherapy only appointments (50 min): $230

  • Psychotherapy only appointments (25 min): $200

  • Phone calls- less than 5 minutes- No charge

  • Phone calls over 5 minutes- Pro-rated based on an hourly rate of $250.

If you experience financial hardship during course of treatment, please let us know as soon as possible so we can come up with a plan that would fit your needs. This will prevent interruption in treatment.

 

Administrative Fees

  • We charge an additional fee of $250/hour for administrative work outside of your appointment time, which exceeds more than 10 minutes. This includes: phone calls (to you, providers or family and friends); responding to emails or direct messages; making photocopies or faxing; document preparation for a third party (attorney, employer, etc.); medical record handling/photocopying, completion of any paperwork/forms; and obtaining any prior authorizations for medications or treatment.

  • Time is billed in quarter-hour increments and will  be billed when services are rendered.. We will use the credit card you have one file. 

 We will use the credit card you have one file. 

Emergencies

  • EMAIL COMMUNICATION SHOULD NEVER BE USED IN THE CASE OF AN EMERGENCY OR FOR URGENT REQUESTS FOR INFORMATION.

  • If you cannot wait for Dr. Hidalgo to contact you back and/or it is a life-threatening emergency, call 911 or go to the nearest emergency room. You may also call the National Suicide Prevention Lifeline at 1-800- 273-TALK (8255), which is a confidential hotline staffed by trained mental health counselors, 24 hours a day, 7 days a week. Please familiarize yourself and your family with the information on available resources in your area.  

  • Email may not be secured to discuss clinical issues, therefore, please use secure messaging through Patient Portal. Any information contained in email messages from Lux Psychiatry, PLLC/Dr. Hidalgo is intended solely for the addressee unless otherwise explicitly stated and may contain information that is confidential, privileged, or otherwise protected from disclosure under applicable law.

  • Should you be hospitalized at any time, we expect the inpatient physician to coordinate care with me. If this does not occur, Dr. Hidalgo may not be able to continue the medications that were prescribed in the hospital if Dr. Hidalgo find the treatment to be unwarranted or potentially harmful.

 

Termination of services

We understand that people are different and that we may not be an ideal fit for each other and therefore, you may wish to discontinue treatment. You may do so via email or through a phone call. It is best to discuss reasons for termination so we can facilitate a smooth transition to your new provider.

On a rare occasion, we may find it necessary to terminate treatment without your agreement.  Termination may occur if:

  • Non-payment of bill at the time of service

  • You fail to keep two appointments: either No-Show or Late Cancellation (if you wish to return to treatment, a comprehensive evaluation may be necessary)

  • You fail to participate or misuse your treatment (this also includes obtaining duplicates of medications from other doctors/providers)

  • You fail to comply with treatment recommendations

  • You do not agree with Dr. Hidalgo's treatment recommendations, despite her best efforts to find a treatment that align with your preferences.

  • You engage in unprofessional, threatening or intimidating behavior

  • You see another psychiatrist or physician/provider for management of the same (or related) conditions we are treating and do not notify us.

  • Treatment is unproductive

  • You require a higher level of care or different treatment that we are not able to provide

  • If you are suspected of trading, selling or giving away your medications

  • You make a request for me to misrepresent your diagnosis or level of functioning in order to obtain benefits you are not entitled to.

 

We reserve the right to terminate any patient from the practice without providing any reason.

If termination occurs, then alternative treatment resources will be provided to the pt. It is the patient’s responsibility to contact such resources and establish care. We will make efforts to facilitate a smooth transition. If the patient is in crisis before termination, we will make efforts to stabilize the patient. This may include obtaining additional psychiatric services.

In some situations, we will remain responsible for your care for up to 30 days after we inform you that we will no longer provide services. This may or may not include prescription of medications at my discretion.   

 

Social Media

  • Blogs and Social Media: Dr. Hidalgo does not accept friend or contact requests from current or former patients on any of her personal social networking sites (Facebook, LinkedIn, etc.). Adding patients as friends on these sites can compromise your confidentiality and the therapeutic relationship with Dr. Hidalgo.

  • Dr. Hidalgo will not follow or like any patient on Twitter, Instagram, blogs, or other apps/websites. If there is content you wish to share from your online life, please bring it into the sessions with Dr. Hidalgo where it can be explored together.

  • You are welcome to like or follow the Lux Psychiatry, PLLC blog or any of the Lux Psychiatry, PLLC social media sites, including Facebook and Twitter. However, please keep in mind that these sites are for informational purposes and should NEVER be used for any clinical reasons. You should never post any of your personal information or details on any of these sites, as they are completely open to the public and in no way confidential.

 

Legal testimony

 Legal matters requiring my testimony in court may arise. This, however, can interfere with our patient–doctor relationship and therefore, if you are in need of such services, we recommend that you hire an independent forensic mental health doctor/provider.

919-646-1914

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