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Financial Responsibility



Megan W. Spinks, ACSW, LCSW, Inc. is in-network with many insurance companies.  For those using insurance that is in-network, the financial responsibility will be based on your individual insurance plan.  You will be expected to pay what your insurance plan deems your part of the fee for service.

For those who do not use insurance, or that Megan W. Spinks, LCSW, ACSW, Inc. is out-of-network, you will be responsible for the fee based on the service that is provided by Megan. W. Spinks.  The fee will be discussed when an appointment is scheduled.  A Good Faith Estimate outlining fees will be provided.  For questions or more information about your right to a Good Faith Estimate, visit

The office of Megan W. Spinks requires payment at the time of service in the form of cash or check only.  The office does not take credit cards or HSA cards but will provide a receipt for your reimbursement through your HSA card.

No Show/Late Cancellation Fee:  Clients who do not cancel 24 hours in advance or who do not show up for their scheduled appointment will be charged a fee of $90.00.  Payment will be required prior to any follow-up appointments.

Good Faith Estimate

Notice to Clients and Prospective Clients

Under the law, healthcare providers need to give clients who don't have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.

You can ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service, or at any time during treatment.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.  Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, or how to dispute a bill, visit

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