In order to create a thoughtful, collaborative environment, there are a few basic policies that are critical for our work together.

Mission : This practice’s goal is to be a 21st century psychiatric model.  It is focused on balancing results and data with thoughtfulness and compassion.  It is a technology-embracing model that utilizes updated electronic health records, patient/doctor e-mail and video sessions to bring the practice of psychiatry into the modern era.  We employ a sustainability model which reduces paper usage.  We strive to make realistic and achievable goals and use metrics to assess these the best we can.  We also thoughtfully discuss the limits of psychopharmacology and therapy.

Confidentiality: The ideas, thoughts and emotions you share will be held in confidence.  However, there are times when confidentiality is overwritten by the legal system or safety issues. When you register you will get a HIPAA form which explains how this works.  Please read through this and come with any questions.

Collaborative Work: The goal of successful therapy and medication management is to create a respectful collaborative environment.  This means that the psychiatrist needs to listen and respect the view-point and ideals the patient brings.  This also means the patient brings a thoughtful willingness to hear and weigh information.  If both sides treat each other with respect, good meaningful work can be done.

Initial Visit: Before the initial visit, please complete and sign the paperwork on the Luminello website.  It is also important that you sign a consent to talk with your primary care doctor about medication, safety and substance issues, to provide optimal collaborative care.  We also ask that you sign for permission to talk to previous providers and release previous medical records.  The initial visit is considered a consultation to create a future plan.

Paper Free Environment: The goal of this practice is to minimize paper usage as much as possible.  Therefore, all medical records and consents will be done electronically.  Prescriptions will be electronically sent to your pharmacy and all after-visit suggestions will be securely e-mailed to you.  There may be times when paper is used, but the goal is to significantly reduce it.

Fee Structure:  Payment is by credit card only.  You must have a non-HSA/FSA credit card number listed on our website in order to begin. In addition, you may list an HSA credit card for appropriate payments.   Payment in full  is expected at the beginning of each session, and will be billed to your credit card.  No-show and telephone fees will also be charged at that time.   If you are using Blue Cross and Blue Shield, the co-pay is due at the beginning of each session. The full remaining unpaid balance will be assessed and billed automatically at the end of the month.  It is your responsibility to keep your credit card information up-to-date.

Self-Pay Fee Structure

15 Minute Medication Check:  $200

25 Minute Medication with brief therapy: $273

50 Minute Medication with therapy:  $318

80 Minute Initial Visit: $495

Email check in : No charge

Phone call check in* : $75 per 10 minute intervals, rounded up to closest interval

Video Session:  Same cost structure as regular visit

No-show/late cancellation fee*: $75 if cancelled with less than 72 hours notice

* These fees cannot be billed to your insurance company or to your HSA/FSA card

Blue Cross/Blue Shield Fee Structure

Billing as per rates set by Blue Cross/Blue Shield

The following costs cannot be billed to BC/BS and you will be responsible for:

No-show/late cancellation fee: $75 if cancelled with less than 72 hours notice

Phone call check in* : $75 per 10 minute intervals, rounded up to closest interval

Please note that check-ins made by Video Call are billable to your insurance

Prescription/Refill Policy:  All prescriptions will be written at the end of sessions. They will be written to cover until your next appointment.  If you miss an appointment, you may request a refill to cover until your next appointment.  Refills may be requested through the Luminello application only.  No pharmacy or phone requests for refills will be honored. Medications cannot be refilled without a scheduled next appointment.

Benzodiazepine/Stimulant Policy:   There are times when controlled substances, like benzodiazepines(like klonopin or ativan) and stimulants (like Ritalin) are important medications for people’s psychological health.  They, unfortunately, can also be quite addictive.  Therefore, to mitigate risk of addiction, we do not prescribe higher dose benzodiazepines or stimulants.  We also require occasional urine toxicology, and regularly review the Prescription Monitoring Database.  Receiving controlled substances from another provider will result in immediately ending treatment.

Appointment Policy  It is the doctor’s responsibility, baring emergencies, to start and stop sessions on-time to minimize wait time.  If you are running late or unable to make the appointment, you can opt to switch to a video call.

Video Call(doxy.me):  We use a HIPPA-complaint video call which is similar to skype or facetime, but has privacy and security protections.  Most insurance companies will reimburse for HIPPA-complaint video calls, but not phone calls or skype calls.  To talk via video call, use any web browser and go to : https://doxy.me/aaronfrenzmd .  This can be used on your computer, tablet or cell phone as long as you have a camera attached.

Appointment Cancellations/No-Shows:  If a patient cancels, reschedules or no-shows for more than 3 appointments in a 12 month period, we will no longer be able to provide treatment and will be referred to a different practice.

Termination of Services:  There are a few instances in which the treatment cannot continue. In these instances the therapeutic relationship will be considered terminated and you will receive an e-mail indicating your file has been closed as well as referrals to other providers.

The following conditions are grounds for immediate termination of services.

  1. Failure to pay bills in a timely manner
  2. Threatening, violent or aggressive behavior towards your treater
  3. Selling or giving your prescriptions to another person
  4. Doctor shopping (Obtaining controlled substances from more than one prescriber)
  5.  Theft, destruction of property or another offense in the office setting